Single-incision laparoscopic surgery for idiopathic intussusception in children: Comparison with conventional laparoscopy

Chang, Pei‐Yeh; Duh, Yih Cherng; Fu, Yu; Hsu, Yao Jen; Wei, Chin Hung

doi:10.1016/j.jpedsurg.2018.07.010

Cited by 7 publications

(8 citation statements)

References 10 publications

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Section: Methodssupporting

confidence: 88%

“…Laparoscopy has been reported to be effective and without major complications for the management of intussusception[ 1 , 2 ], supporting the present study. In the present study, the success rate of laparoscopy was 88%, which is within the 79%-90% range reported by many case series[ 1 - 3 ]. Nevertheless, the use of laparoscopy remains controversial because laparoscopic intussusception reduction has a high rate of conversion to laparotomy, as high as 70% in some reports[ 4 ].…”

Section: Methodssupporting

confidence: 88%

“…However, conventional surgery is associated with significant trauma in children[ 12 , 13 ]. With the development of laparoscopic techniques, there have been increasingly more reports of successful laparoscopic treatment of intussusception, limiting the surgical trauma and allowing faster recovery[ 1 , 21 ]. Nevertheless, laparoscopic treatment for intussusception remains controversial because the port setting is challenging because of the small working space in infants and small children and because the affected segment may vary among children.…”

Section: Discussionmentioning

confidence: 99%

“…It was found that the terminal ileum had duplication malformations that were managed with intestinal resection and anastomosis. With the improvement of laparoscopic techniques and instrumentation, we believe that laparoscopic surgery will not be contraindicated by age or intestinal resection because minimally invasive surgery through a small umbilical incision can be achieved even for intestinal resection[ 1 - 3 ].…”

Section: Methodsmentioning

confidence: 99%

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Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Li¹,

Wu²,

Luo³

et al. 2022

WJCC

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BACKGROUND Intussusception can be managed by pneumatic reduction, ultrasound-guided hydrostatic reduction, open or laparoscopic surgery, but laparoscopy in such cases remains controversial. AIM To explore the clinical characteristics, effectiveness, and complications of surgical reduction for intussusception using laparoscopy in children. METHODS This study was a retrospective case series of pediatric patients with intussusception who underwent surgical reduction by laparoscopy from May 2011 to April 2016 at Taizhou Hospital of Zhejiang Province. Clinical characteristics (operation time, intraoperative blood loss, conversion rate of laparotomy, reasons for conversion, postoperative hospital stay, and adverse events) were described. RESULTS The 65 patients included 45 boys and 20 girls. The average age was 2.3 years (27.5 ± 24.5 mo). Of the 65 patients, 61 underwent surgical reduction by laparoscopy after a failed enema reduction of intussusception, and four underwent the procedure directly. All patients were treated successfully and 57 (87.7%) patients underwent successful laparoscopic surgery, two of which had a spontaneous reduction. Among the remaining cases, one was converted to open surgery via right upper quadrant incision, and seven required enlarged umbilical incisions. Intestinal resection was performed in 5 patients because of abnormal bowel lesions. There were no complications (intestinal perforations, wound infections, or intestinal adhesions) during the follow-up of 3 years to 8 years. Two patients experienced a recurrence of intussusception; one was resolved with pneumatic reduction, and the other underwent a second laparoscopic surgery. CONCLUSION Laparoscopic approach for pediatric intussusception is feasible and safe. Bowel resection if required can be performed by extending umbilical incision without the conventional laparotomy.

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Section: Methodssupporting

confidence: 88%

Section: Methodssupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Li¹,

Wu²,

Luo³

et al. 2022

WJCC

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“…Some studies reported the implementation of enhanced recovery after surgery (ERAS) can reduce the degree of immunosuppression and improve the long-term prognosis of cancer patients [ 4 , 5 ]. The single-incision laparoscopic surgery (SILS) has certain advantages in reducing trauma and shortening postoperative recovery time, which well fits the concept of ERAS [ 6 , 7 ]. With the rise of SILS and the application of the concept of ERAS, a new door has been opened for minimally invasive treatment of gastric cancer patients [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of single-incision laparoscopic distal gastrectomy guided by ERAS and the influence on immune function

et al. 2021

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Background To evaluate the immune function of gastric cancer patients after single-incision laparoscopic distal gastrectomy (SIDG) or multiport laparoscopic distal gastrectomy (MLDG) guided by enhanced recovery after surgery (ERAS). Methods A retrospective cohort study was performed on 120 patients who underwent laparoscopic distal gastrectomy for gastric cancer. The patients were divided into two groups according to operation method: group A (MLDG) and group B (SIDG), both guided by ERAS concept. The indicators reflecting immune function and inflammation, such as CD3+, CD4+, CD8+ and NK cell count, CD4+/CD8+ cell ratios, IgA, IgM and IgG levels, C-reactive protein (CRP), total lymphocyte count (TLC) and neutrophil-to-lymphocyte ratio (NLR) were tested 3 days and 7 days after surgery. Results The skin incision length of patients in group B was significantly shorter than that in group A, but the operation time was significantly longer in group B than that in group A (P < 0.05). There were no significant differences in preoperative CD3+, CD4+, CD8+, natural killer (NK) cells, CD4+/CD8+, IgA, IgM and IgG levels between two groups (P < 0.05). Three days after surgery, the immune function indices were decreased in both groups, but with no significant difference between two groups (P > 0.05). On the 7th day after surgery, the immune indexes of both groups recovered somewhat, approaching the preoperative level (P > 0.05). Inflammation indexes increased 3 days after surgery and decreased 7 days after surgery in both groups, among them the CRP level in group A was higher than that in group B (P < 0.05). The 3-year survival rate were 96.7% in group A and 91.7% in group B, respectively, with no statistically significant difference. Conclusion Compared with MLDG guided by ERAS, SIDG under the guidance of the ERAS concept has better cosmetic effect and similar effect on immune function of gastric cancer patients.

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Clinical Characteristics of Intussusception with Surgical Reduction: a Single-Center Experience with 568 Cases

Liu

et al. 2019

Journal of Gastrointestinal Surgery

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Single-incision laparoscopic surgery for idiopathic intussusception in children: Comparison with conventional laparoscopy

Cited by 7 publications

References 10 publications

Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Effect of single-incision laparoscopic distal gastrectomy guided by ERAS and the influence on immune function

Clinical Characteristics of Intussusception with Surgical Reduction: a Single-Center Experience with 568 Cases

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