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[Urgent laparoscopic surgeries in children of the first year of life]
Insights
Laparoscopic surgery is effective for urgent abdominal conditions in infants, including intestinal obstruction. This minimally invasive approach offers high diagnostic accuracy and advantages over open surgery for conditions like intestinal invagination.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Urgent abdominal conditions in infants often require surgical intervention.
- Laparoscopy is increasingly utilized in pediatric surgery for diagnosis and treatment.
- Evaluating the efficacy and safety of laparoscopy in this population is crucial.
Purpose of the Study:
- To assess the utility of urgent laparoscopic operations in infants.
- To determine the diagnostic and therapeutic value of laparoscopy for acute abdominal diseases in pediatric patients.
- To compare laparoscopic and open surgical approaches for specific conditions like intestinal invagination.
Main Methods:
- Retrospective analysis of 192 urgent laparoscopic operations in 179 infants.
- Categorization of indications: intestinal obstruction, acute abdominal diseases, gynecological diseases.
- Comparison of laparoscopic versus open surgery for desinvagination procedures.
Main Results:
- Laparoscopy demonstrated 100% diagnostic accuracy with no intraoperative complications.
- Conversion rates varied by indication: 10.9% (obstruction), 4.6% (abdominal diseases), 0% (gynecological).
- Laparoscopic desinvagination showed significant advantages over open surgery.
Conclusions:
- Laparoscopy is a valuable and safe method for diagnosing and treating acute abdominal diseases in infants requiring urgent surgery.
- The technique offers high diagnostic yield and therapeutic benefits, particularly in managing intestinal invagination.
- Minimally invasive approaches should be considered for urgent pediatric surgical cases.
Abstract:
One hundred and ninety-two urgent laparoscopic operations in 179 infants (including 31 newborn infants) were performed. Indications for surgery were intestinal obstruction (108 children), acute diseases of abdominal organs (61), and gynecological diseases (10). The rate of conversion in 3 groups was 10.9, 4.6% and 0, respectively. In all the cases conversion was performed due to technical difficulties, there were no intrasurgical complications, diagnostic value of the method reached 100%. Combined laparoscopic surgeries were performed in 25.1% cases. Intestinal invagination was the most frequent cause of laparoscopy. Comparative analysis of open (28) and laparoscopic (85) desinvagination demonstrated the advantages of the latter one both during and after surgery. Laparoscopy is the useful method for diagnosis and treatment of acute abdominal disease requiring urgent surgery in infants.
