Does laparoscopic-assisted transanal endorectal pull-through improve outcomes compared with transanal…

Meta-analysisPediatric surgery international· Aug 2026

Does laparoscopic-assisted transanal endorectal pull-through improve outcomes compared with transanal endorectal pull-through in Hirschsprung disease? A systematic review and meta-analysis.

Rajpal Singh Sisodiya, Himanshu Acharya, Akanksha Tomar … Abhishek Tiwari

Pediatric SurgeryMeta-analysisTreatmentQ2IF 1.8

TERPT had significantly shorter operative time than laparoscopic-assisted TERPT in Hirschsprung disease.

Does laparoscopic-assisted transanal endorectal pull-through improve outcomes compared with transanal endorectal pull-through in Hirschsprung disease? A systematic review and meta-analysis.

Rajpal Singh Sisodiya … Abhishek Tiwari

Pediatric surgery international · Aug 2026 · Q2 in Surgery

Background

TERPT and LA-TERPT are widely used minimally invasive procedures for HD treatment.

Methods

An SRMA was conducted in accordance with PRISMA 2020 guidelines and prospectively registered in PROSPERO (CRD420261378340).

n = 1,668 children

MD = -43.25 min

Results

MD = -43.25 min

TERPT alone cut operative time versus the laparoscopic-assisted approach

n = 1,668 children

More results

However, the comparative superiority of either technique in terms of postoperative complications and long-term functional outcomes remains uncertain.

More results

No significant differences were observed between TERPT and LA-TERPT for constipation (log RR = 0.11), soiling (log RR = 0.05), fecal incontinence (log RR = 0.05), HAEC (log RR = 0.09), BFS > 17 (log RR = - 0.08), anastomotic stricture (log RR = 0.28), or anastomotic leak (log RR = 0.06).

Post-op hospital stay was comparable between groups (MD = 0.20 days).

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Conclusion

An SRMA was conducted in accordance with PRISMA 2020 guidelines and prospectively registered

Does laparoscopic-assisted transanal endorectal pull-through improve outcomes compared with transanal endorectal pull-through in Hirschsprung disease? A systematic review and meta-analysis.

Does laparoscopic-assisted transanal endorectal pull-through improve outcomes compared with transanal endorectal pull-through in Hirschsprung disease? A systematic review and meta-analysis.

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