Laparoscopic treatment of intussusception
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Published on: March 24, 2023
Ramon Vilallonga1, Jacques Himpens1, Femke Vandercruysse1
1Division of Bariatric Surgery, AZ St-Blasius, Kroonveldlaan 52, 9200 Dendermonde, Belgium.
Insights
Laparoscopic reduction of intussusception is a safe and effective procedure for young children with uncomplicated cases. This minimally invasive technique offers a successful alternative to open surgery, with no reported complications in the studied cases.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic surgery is increasingly successful in pediatric cases.
- This has led to its application in younger children (<2 years) for non-complicated intussusception.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic reduction of intestinal intussusception in young children.
- To present a case series and video of the laparoscopic technique.
Main Methods:
- Retrospective analysis of 4 patients undergoing laparoscopic reduction of intestinal intussusception (August 2008 - April 2013).
- Detailed review of each case, including video analysis of the laparoscopic technique in one patient.
Main Results:
- Four pediatric patients (2 boys, mean age 9 months) underwent successful laparoscopic reduction.
- Mean operative time was 35 minutes with no conversions or complications.
- Patients were discharged after a mean of 2.5 days.
Conclusions:
- Laparoscopic reduction of intussusception is a safe procedure for young children with uncomplicated cases.
- The technique is effective and well-tolerated, with rapid recovery.
Introduction:
The success of laparoscopic approach in children has encouraged the application of this technique in young (<2 years) children with non-complicated intussusception.
Material And Method:
A retrospective analysis of our database provided a total of 4 patients who underwent laparoscopic reduction of intestinal intussusception between 8/2008 and 4/2013. A comprehensive review of each case was done including the video description of the laparoscopic technique of one of them.
Results:
Four patients (2 boys) were treated by laparoscopy for intestinal intussusception. Mean age was 9 months (5-20 months). Delay time between initial symptoms and diagnosis and between diagnosis and surgery were 3.5 days and 6h respectively. Mean operative time was 35min. There were no conversions. There were no complications. Patients were discharged after 2.5 days (2-4 days). We herein report (video) the laparoscopic approach in a 5 month male child who suffered from a ileocecal intussusception. A 10mm trocar was placed in the left lower quadrant and two 5mm trocars were placed in the upper left quadrant and suprapubic just to the right midline. The cause of the intussusception was identified and the bowel was reduced. A concomitant appendectomy was performed.
Conclusion:
Laparoscopic reduction of intussusception appears to be a safe procedure, in young children with uncomplicated intussusception.
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