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J Pediatr Surg. 2005 Jan;40(1):281-4.

Laparoscopic vs open surgical approach for intussusception requiring operative intervention.

Author information

1
C.S. Mott Children's Hospital F3970, University of Michigan Health System, Ann Arbor, MI 48109-0245, USA.

Abstract

PURPOSE:

Laparoscopy has recently been used to treat intussusception that cannot be reduced radiologically. The effectiveness and practical nature of this approach has been questioned.

METHODS:

This study retrospectively analyzed the authors' experience with this laparoscopic approach and compared this to the conventional open laparotomy procedure.

RESULTS:

Sixteen patients were treated via laparoscopy, with 2 of these requiring conversions to an open procedure (12.5%). Twenty-five patients underwent an open reduction. Operative time was not significantly different (P = .698) between the laparoscopic (49.56 +/- 26.40 minutes) and open groups (45.00 +/- 24.74). Length of stay, however, was significantly reduced (P = .005) in the laparoscopic group (3.00 +/- 1.31 days) compared to the open group (4.52 +/- 1.98). Total hospital charges were lower in the laparoscopic group ($8171 +/- 2595) compared to the open group ($11,672 +/- 5466); this difference was not significant (P = .088). There were no significant differences in intra- or postoperative complication rates (P = .637) between the 2 approaches.

CONCLUSIONS:

Although there remains a group who will require a conversion to an open procedure, the laparoscopic approach should be considered a safe and effective option for all children who do not respond to a radiological reduction.

PMID:
15868598
DOI:
10.1016/j.jpedsurg.2004.09.026
[Indexed for MEDLINE]

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