Precision minimally invasive strategy for Hirschsprung's disease: from anatomical resection to whole-cycle functional management-a review.

BACKGROUND: Minimally invasive radical surgery for Hirschsprung's disease (HD) has achieved substantial advances in anatomical accuracy and perioperative safety, yet postoperative defecation dysfunction remains a key factor limiting long-term quality of life in pediatric patients. Existing reviews seldom elaborate the integrated whole-cycle functional management paradigm. OBJECTIVE: To summarize available study on precision minimally invasive strategies for HD and propose a whole-cycle functional management framework. METHODS: This review summarizes information from major databases, including ScienceDirect, Google Scholar, Scopus, PubMed and Springer Link. Publications were selected without date restrictions and and used terms such as Hirschsprung's disease, minimally invasive surgery, defecation function, risk stratification, biofeedback training; non-English literature, conference abstracts without full text were excluded. RESULTS AND CONCLUSIONS: In this review, we summarized current minimally invasive, precision therapeutic strategies for Hirschsprung disease. Additionally, we analysed the corresponding comprehensive care pathway, to highlight a paradigm shift-from isolated anatomical resection to holistic, function-oriented management across the entire disease trajectory.