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What is the role of laparoscopic surgery in intussusception?
- Source :
-
ANZ Journal of Surgery . Jun2016, Vol. 86 Issue 6, p504-508. 5p. - Publication Year :
- 2016
-
Abstract
- Background Assessing the role of laparoscopy in the management of intussusception. Methods A retrospective review of children aged up to 17 years who had surgery for intussusception at this institution between 1 January 2004 and 31 December 2013. Results The cohort of 44 individuals (18 females) presented at a median age of 9 months (range 2.5 months-15.75 years) with intussusception; 36 patients had undergone a failed pneumatic reduction. Thirty-seven patients had an initial laparoscopic approach. Conversion was required in 13 individuals: inability to reduce a 'tight' intussusception in seven individuals, limited working space in four individuals, and inadequate tactile response in two individuals. Twenty-four patients (54%) had the laparoscopic approach completed. An open approach was chosen for seven individuals at a median age of 5 (range 4-11) months: three individuals had marked abdominal distension, two individuals had a pneumoperitoneum and two individuals presented with a large central mass. Together with the 13 conversions, a total of 20 patients (46%) underwent an open approach. The more distal the apex of the intussusception, the more likely open surgery was. Hospital stays for the subgroup of patients with successfully completed laparoscopic intervention ( n = 24) were shorter than for the open surgery group ( n = 20) with P = 0.0145, but the open procedure was used to manage the more challenging cases. The subgroup of seven infants undergoing direct open surgery were significantly younger than the remaining individuals ( P = 0.0046). Conclusion Laparoscopic intervention is meaningful in approximately 50% of children requiring a surgical reduction. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LAPAROSCOPIC surgery
*ENDOSCOPIC surgery
*CHILDREN
*MEDICAL records
*LAPAROSCOPY
Subjects
Details
- Language :
- English
- ISSN :
- 14451433
- Volume :
- 86
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- ANZ Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 115832301
- Full Text :
- https://doi.org/10.1111/ans.13435