AIM: To report the clinical outcomes and ergonomics analysis of three laparoscopic approaches in the management of @entity1963 ( @entity1963 ). METHODS: There were 90 pediatric @entity1 (63 @entity1 , 27 @entity1 ; mean age: 3.6    2.7 mo; range: 1.0-90.2 mo) who underwent laparoscopic endorectal pull-through Soave procedures for short- and long-segment @entity1963 in our hospital. Three laparoscopic approaches were used: conventional laparoscopic pull-through (CLP) in 30 @entity1 between 2009 and 2013, single-incision laparoscopic pull-through (SILP) in 28 @entity1 between 2010 and 2013, and hybrid single-incision laparoscopic pull-through (H-SILP) in 32 @entity1 between 2011 and 2013. We applied the hybrid version of the single-incision approach in 2011 to preserve the cosmetic advantage of SILP and the ergonomic advantage of CLP. We retrospectively analyzed the clinical data, cosmetic results, and ergonomics of these three approaches to have a better understanding of the selection of one approach over another. RESULTS: The CLP, SILP, and H-SILP groups were similar in regard to age, sex, transition zone, @entity190 , hospital stay, and intraoperative complications. Early and late postoperative results were not different, with equal @entity260 . No conversion to open technique was needed and none of the @entity1 had recurrent constipation. With proper training, the ergonomics challenges were overcome and similar operative times were registered for the general operative time in the @entity1 < 1 year of age and the short-segment @entity1963 @entity1 . However, significantly shorter operative times were registered compared to SILP for @entity1 > 1 year of age (CLP and H-SILP: 120    15 min and 119    12 min, respectively, vs 140    7 min; P < 0.05) and for long-segment @entity1963 @entity1 (152    3.5 min and 154    3.6 min, respectively, vs 176    2.3 min; P < 0.05). The best cosmetic result was registered with the SILP (scarless), followed by the @entity8108 -SILP (near scarless appearance) and the @entity2318 . CONCLUSION: Based on the results, we believed that the laparoscopic approach should be selected according to the age, transition zone, and desired cosmetic result.

Clinical outcomes and ergonomics analysis of three laparoscopic techniques for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'girls', 'boys'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity2318 :: ('MESH:D002921', 'Disease') :: ['CLP (visible scars) procedures'] @entity1963 :: ('MESH:D006627', 'Disease') :: ['HD', "Hirschsprung's disease"] @entity260 :: ('MESH:D011183', 'Disease') :: ['daily defecation frequency and postoperative complications'] @entity8108 :: ('D006859', 'Chemical') :: ['H']
@entity1963 :: (MESH:D006627,Disease) :: ['Hirschsprung's disease']
