{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:03:40Z","timestamp":1790910220653,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the clinical outcomes between total transanal endorectal pull-through (TTEPT) and laparoscopic-assisted transanal endorectal pull-through (LTEPT) in children with rectosigmoid Hirschsprung\u2019s disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study was conducted to compare patients with rectosigmoid Hirschsprung\u2019s disease who underwent TTEPT or LTEPT at Beijing Children\u2019s Hospital between January 2016 and June 2021. Clinical details were collected from medical records. Patients\u2019 parents completed the Krickenbeck questionnaire to evaluate the long-term bowel function (age &gt;4 years) by telephone. A literature search was conducted by using the National Center for Biotechnology Information (NCBI) PubMed database. We combined data from our data with eligible articles and performed a meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      From our data, there was no difference in the incidence of postoperative complications or long-term bowel function between the patients undergoing TTEPT and LTEPT. A meta-analysis, including five published articles and our data, was performed with a total of 414 patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 236 with TTEPT and\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 178 with LTEPT). For postoperative complications, there were no significant differences between TTEPT and LTEPT for the incidence of HAEC (odds ratio [OR], 0.90; 95% confidence interval [CI], 0.45\u20131.80;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .77) or anastomotic leak (OR, 2.52; 95% CI, 0.40\u201315.80;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .32). Regarding bowel function outcomes, the incidence of soiling (OR, 1.77; 95% CI, 0.84\u20133.71;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .13) and constipation (OR, 1.20; 95% CI, 0.54\u20132.64;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .66) were also similar for the two approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There was no significant difference in postoperative complications and bowel functional outcomes in patients with rectosigmoid HD undergoing TTEPT or LTEPT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence:<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0448","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T09:46:27Z","timestamp":1715334387000},"page":"80-88","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Total Transanal Endorectal Pull-through Versus Laparoscopic-Assisted Approach in Children with Rectosigmoid Hirschsprung\u2019s Disease: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"35","author":[{"given":"Kexin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of General Surgery, Beijing Children\u2019s Hospital, Capital Medical University, National Center for Children\u2019s Health, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuanping","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Beijing Children\u2019s Hospital, Capital Medical University, National Center for Children\u2019s Health, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayu","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Beijing Children\u2019s Hospital, Capital Medical University, National Center for Children\u2019s Health, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2353-2795","authenticated-orcid":false,"given":"Yajun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Beijing Children\u2019s Hospital, Capital Medical University, National Center for Children\u2019s Health, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"issue":"1","key":"e_1_3_5_2_2","article-title":"Maternal risk factors and perinatal characteristics for hirschsprung disease","volume":"138","author":"L\u00f6f Granstr\u00f6m A","year":"2016","unstructured":"L\u00f6f Granstr\u00f6m A, , Svenningsson A, , Hagel E, et al. 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