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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
[Laparoscopic surgery and postoperative adhesions in children]
Insights
Laparoscopic surgery significantly improves outcomes for pediatric adhesive bowel obstruction, reducing pain, complications, and hospital stays compared to traditional methods.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Minimally Invasive Procedures
Context:
- Acute adhesive bowel obstruction is a common surgical emergency in children.
- Previous abdominal surgeries, particularly for appendicitis with peritonitis, are a major risk factor.
- This study analyzes a large cohort of pediatric patients treated over several decades.
Purpose:
- To evaluate the efficacy of laparoscopic surgery versus traditional open surgery for pediatric adhesive bowel obstruction.
- To compare outcomes for appendicular peritonitis and intestinal invagination treated with different surgical approaches.
- To assess the impact on pain, recovery, complications, and hospital stay.
Summary:
- Analysis of 568 pediatric patients (3 weeks to 14 years) with acute adhesive bowel obstruction.
- Laparoscopic appendicular peritonitis treatment showed earlier pain/endotoxemia resolution, faster GI recovery, fewer complications, and 30.8% shorter hospital stays.
- Laparoscopic intestinal invagination surgery resulted in no complications and a 2.5-fold reduction in hospital stay compared to open surgery.
Impact:
- Laparoscopic surgery offers a superior treatment modality for pediatric adhesive bowel obstruction.
- Minimally invasive techniques lead to faster recovery and reduced morbidity in pediatric surgical patients.
- Improved surgical strategies can significantly decrease healthcare resource utilization in pediatric surgical care.
Abstract:
Data of 568 patients, aged from 3 weeks to 14 years, with acute adhesive bowel obstruction, treated during 1981--2007 yy. are analyzed. Most often previous laparotomy was performed on account of appendicitis, predominately complicated with peritonitis--in 52,2% of patients. Obstruction, caused by intestinal invagination was observed in 19,4%, malformation--9,3%, tumor--2,3%, other--1,7%. The treatment results of appendicular peritonitis and intestinal invagination are studied. Two comparative groups of patients with appendicular peritonitis, 100 children each, were treated laparoscopically and traditionally. The laparoscopic method allows to stop pain and endotoxicosis earlier, faster gastrointestinal function recovery, decrease of complication in the laparoscopical group rates and hospital-stay period on 30,8%. 100 children with intestinal invagination were operated laparoscopically and 50 patients were experienced a traditional <
