Text Box: LAPAROSCOPIC ENDORECTAL PULL-THROUGH FOR HIRSCHSPRUNG¡¯S DISEASE IN NEWBORNS AND SMALL INFANTS Chen Yongwei, Hou Dawei, Chang Qinming, Chen Yourong Department of Surgery, Beijing Children¡¯s Hospital, Beijing, China Objective: To introduce our experience of laparoscopic pull-through for Hirschsprung¡¯s disease in newborns and small infants. Methods: Thirty newborns and small infants with Hirschsprung¡¯s disease underwent laparoscopic endorectal pull-through. The patients¡¯ ages and weights ranged from 11 to 90 days and 2.5 to 5.7 kg, respectively. Under CO2 pneumoperitoneum, three ports were made. Suspected aganlionic colon and rectum were mobilized by dividing the supplying vessels and cutting the perirectal peritoneal reflection. By anal approach, the mucosa was incised 5-10 mm above the dentate line and dissection was carried proximally in the submucosal plane for 20-25mm. Then the muscular cuff was incised and the rectum was dissected until the level of the intraabdominal dissection was reached. The colon was pulled through the anus past the level of the transition zone. Coloanal anastomosis was made between the cut end of the colon and the cut edge of mucosa above the dentate line. Results: The average operation times were 153.5 minutes. Oral feeding was resumed the following day after operation. The patients recovered smoothly and were discharged from hospital 7.4 days postoperatively. Conclusions: Laparoscopic endorectal pull-through for Hirschsprung¡¯s disease in newborns and small infants is save and preferable. The advantages of this procedure include minimal trauma to abdomen, rapid return of bowel function and quick recovery of quality life. 1701