Related Experiment Video
Updated: May 9, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Laparoscopic treatment of intussusception in children: a systematic review
Nadja Apelt1, Neil Featherstone, Stefano Giuliani
1Kinderchirurgische Klinik, Dr. von Haunersches Kinderspital, Munich, Germany.
Insights
Laparoscopic surgery is a safe and effective primary treatment for pediatric intussusception, offering a shorter hospital stay compared to open surgery. This minimally invasive approach is recommended for specialized pediatric centers.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Idiopathic intussusception is a leading cause of small bowel obstruction in children.
- Laparotomy is the standard surgical treatment after failed radiological reduction.
- The role of minimally invasive surgery in pediatric intussusception remains debated.
Purpose of the Study:
- To evaluate the safety and effectiveness of laparoscopy for pediatric intussusception.
- To determine if laparoscopy should be the primary surgical technique.
Main Methods:
- Systematic review of publications from January 1990 to April 2012.
- Analysis of laparoscopic treatment for pediatric intussusception.
- Key variables included success rate, conversion reasons, complications, and length of stay.
Main Results:
- A 71.0% laparoscopic success rate was observed across 276 cases.
- Low rates of intraoperative (0.4%) and postoperative (2.9%) complications.
- Shorter mean length of stay for laparoscopic vs. open reduction (4.0 vs. 7.1 days).
Conclusions:
- Laparoscopy is a safe and effective primary surgical technique for pediatric intussusception.
- Tertiary centers should consider adopting laparoscopy for this condition.
- Minimally invasive skills are crucial for successful laparoscopic reduction.
Background:
Idiopathic intussusception is one of the most common causes of small bowel obstruction in children. In the event of failed radiological reduction, laparotomy remains the treatment of choice. There is still no agreement in pediatric surgery about safety and effectiveness of the use of minimally invasive surgery in this common pediatric condition. By reviewing available data we aimed to establish whether laparoscopy should be the primary technique in the surgical reduction of intussusception.
Methods:
A systematic review of all publications on the laparoscopic treatment of pediatric intussusception from January 1990 to April 2012 was performed. The following variables were analyzed: age, laparoscopic success rate, reason for conversion, enterotomy rate, operative time, complications, and length of stay (LOS).
Results:
Ten retrospective studies treating 276 cases of laparoscopically reduced intussusception were identified. A total of 80 conversions corresponded to a 71.0% laparoscopic success rate. Only one case of intraoperative iatrogenic intestinal perforation was reported (0.4%). Postoperative complications occurred in 8 patients (2.9%), and adhesive small bowel obstruction was reported in 1 case (0.4%). Recurrence rate after laparoscopy was 3.6%. Three of 10 papers compared results between laparoscopic and open reduction of intussusception showing a shorter mean LOS in the former group (4.0 vs. 7.1 days, p<0.01).
Conclusion:
Laparoscopy is safe and effective in the treatment of pediatric intussusception. Tertiary centers with adequate minimally invasive skills should establish laparoscopy as the primary surgical technique in the treatment of this condition.
Related Concept Videos
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Intestinal Obstruction I: Introduction