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The Laparoscopic Versus Open Approach for Reduction of Intussusception in Infants and Children: An Updated

Leo Andrew Benedict1, Derrick Ha2, Joseph Sujka1

  • 11 Department of Surgery, Children's Mercy Hospital , Kansas City, Missouri.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|July 24, 2018
PubMed

Insights

Laparoscopic surgery for intussusception in children offers a shorter hospital stay compared to open surgery. This minimally invasive approach shows similar complication and readmission rates, making it an effective treatment option.

Area of Science:

  • Pediatric surgery
  • Minimally invasive surgery
  • Gastrointestinal surgery

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Enema reduction is the initial treatment of choice, but may fail.
  • Laparoscopic surgery offers a minimally invasive alternative after failed enema reduction.

Purpose of the Study:

  • To evaluate the effectiveness of laparoscopic reduction for intussusception in children after failed enema reduction.
  • To assess operative success, hospital stay duration, postoperative complications, and readmission rates.
  • To compare outcomes of laparoscopic versus open surgery in this patient population.

Main Methods:

  • Retrospective review of children (0-18 years) who failed enema reduction between 2008-2017.
  • Classification of cases into open or laparoscopic procedures.
  • Comparative analysis of demographic data, bowel resection, length of stay, complications, and readmissions.

Main Results:

  • Laparoscopic reduction (78%) was more common than open surgery (22%).
  • Laparoscopic surgery resulted in a shorter median hospital stay (4 days vs. 5 days, P=.001).
  • Complication rates (11%), readmission rates, and reoperation rates were similar between laparoscopic and open groups.

Conclusions:

  • Laparoscopic management of intussusception after failed radiographic reduction is effective.
  • It leads to a reduced hospital length of stay without increasing complications or readmissions.
  • Laparoscopic surgery is a safe and beneficial option for children with intussusception unresponsive to enema reduction.
Abstract

Keywords:
intussusception and length of staylaparoscopic reductionpediatric intussusception

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