To investigate the effect of laparoscopic Soave (LS) and modified laparoscopic Swenson (MLSw) on children with short-segment Hirschsprung’s disease (HD) and the effect on function control.

Data of ninety children with short-segment HD who underwent surgery from January 2012 to December 2017 in Xi’an Children’s Hospital were retrospectively analyzed, including 45 patients with LS (LS group) and 45 patients with MLSw (MLSw group). The perioperative indexes of the two groups were compared. The anorectal pressure of the children was detected at 1 year after operation, and the control function was evaluated by Heikkinen score.

The operation time, intraoperative blood loss, postoperative feeding time and hospitalization time of MLSw group were significantly lower than those of LS group (t=6.718, 15.583, 2.183, 3.343, all P<0.05). One year after operation, the anal canal resting pressure, anal canal pressure band, maximum systolic pressure, and sensory threshold in the MLSw group were lower than those in the LS group, while the number of bowel movement, stool characteristics, feces, need for treatment, and Heikkinen total score were higher, the differences were statistically significant (P<0.05). The postoperative complication rate was 6.67% (3/45) in the MLSw group, which was significantly lower than 22.22% (10/45) in the LS group, the difference was statistically significant (χ²=4.406, P=0.036).

The effect of MLSw in the treatment of children with short-segment HD is better than LS, with lower operative complication rate and better postoperative function control.