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Fast-track surgery of the colon in children
Girolamo Mattioli1, Loredana Palomba, Stefano Avanzini
1Department of Pediatric Surgery, Gaslini Research Institute, University of Genova, Genova, Italy. girolamomattioli@ospedale-gaslini.ge.it
Insights
Pediatric laparoscopic colon resection using a fast-track approach enables rapid recovery. This minimally invasive surgery is safe and effective for children, leading to quick returns to normal activity and early discharge.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Colorectal Surgery
Background:
- The
- fast-track
- protocol aims to optimize recovery after pediatric colon resection.
- This study evaluates the fast-track experience in pediatric patients undergoing colon resection.
Purpose of the Study:
- To present the outcomes of a fast-track protocol in children undergoing colon resection.
- To assess the safety and effectiveness of minimally invasive surgery in pediatric colonic procedures.
Main Methods:
- Prospective study of 46 children who underwent laparoscopic colon resection.
- Surgical indications included anomalies of colon innervation and inflammatory bowel disease.
- Procedures involved left/sigmoid, total, or right colon resection, with anastomosis in 41 cases.
Main Results:
- Patients experienced early return of bowel function and oral feeding (postoperative day 1).
- All patients were discharged before postoperative day 4, demonstrating a fast recovery.
- One case of anastomotic leak required readmission; no other major complications occurred.
Conclusions:
- Minimally invasive surgery, specifically laparoscopic colon resection, is safe and effective in pediatric patients.
- The fast-track approach facilitates a rapid recovery and positive outcomes in pediatric colonic surgery.
Introduction:
The aim of this study is to present the "fast-track" experience in children who underwent colon resection.
Materials And Methods:
Forty-six children who underwent laparoscopic colon resection were prospectively included in the study. Anomalies of colon innervation and inflammatory bowel disease represented the main surgical indications.
Results:
Left colon/sigmoid resection was performed in 37, total colon resection was done in 5, and right colon resection in 4 children. Total colon resection was always associated to ileostomy. Anastomosis was performed in 41 cases. Patients were postoperatively monitored for pain, return to normal activity, feeding, bowel movements, and complications. Stool passage and oral feeding were started on postoperative day 1, and all patients were discharged before postoperative day 4. One child was readmitted the day after discharge because of an anastomotic leak. No other major complications were recorded.
Discussion:
Minimally invasive surgery is safe and effective in pediatric colonic surgery and allows a fast recovery time (fast-track).
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