Laparoscopic approach for rectosigmoidian resection in children.

[hirschsprung disease]

Abdominoperineal approach for rectosigmoidian resection ,first imagined and performed in 1948 by Orwar Swenson ,was the surgical technique that opened the pathway in the treatment of congenital megacolon (1 ). B . Duhamel (1956 ) and F . Soave (1964 ) intended to correct the postoperative complications appeared after the Duhamel technique and proposed surgical procedures that keep the aganglionic rectum in transit (2 ,3 ). In 1994 K . Bax reproduces the Duhamel procedure using laparoscopic approach (4 ). K .Georgeson , in 1995 , reproduced the Swenson technique for rectosigmoidian resection using minimal invasive surgery (5 ).Today , this approach represents the most frequently used procedure for the radical treatment of congenital megacolon .