Objective  To analyze the clinical effect of laparoscopic-assisted transanal endorectal pull-throughs with muscle sheath (Soave) in children with Hirschsprung's disease.

  Methods  A total of 86 children with Hirschsprung's disease were divided into observation group (n=43) and control group (n=43) by random number table method. The control group was treated with transanal Soave, and the observation group was treated with laparoscopic-assisted transanal Soave. The operation situation, anal function 3 months after surgery, quality of life before and 3 months after surgery as well as the incidence of complications were compared between the two groups.

  Results  The operation time, hospitalization time and gastrointestinal function recovery time of the observation group were significantly shorter than those of the control group (P < 0.05); three months after operation, scores of anal function and quality of life in the observation group were significantly higher than those in the control group (P < 0.05); the complication rate of the observation group was 4.65%, which was significantly lower than 20.93% of the control group (P < 0.05).

  Conclusion  The laparoscopic-assisted transanal Soave can effectively improve the anal and gastrointestinal functions, enhance the quality of life and reduce complications in children with Hirschsprung's disease.