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Single-incision laparoscopic surgery for idiopathic intussusception in children: Comparison with conventional

Paul Chia-Yu Chang1, Yih-Cherng Duh2, Yu-Wei Fu3

  • 1Division of Pediatric Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan; School of Medicine, Mackay Medical College, New Taipei City, Taiwan.

Journal of Pediatric Surgery
|August 20, 2018
PubMed

Insights

Single-incision laparoscopic surgery (SILS) is a feasible approach for pediatric intussusception, showing comparable outcomes to conventional laparoscopy (CLS). Bimanual reduction effectively manages cases where SILS reduction fails.

Area of Science:

  • Pediatric surgery
  • Minimally invasive surgery
  • Gastrointestinal surgery

Background:

  • Idiopathic intussusception is a common surgical emergency in children.
  • Conventional laparoscopy (CLS) is a standard treatment.
  • Single-incision laparoscopic surgery (SILS) offers potential benefits like reduced scarring.

Purpose of the Study:

  • To evaluate the feasibility of SILS for pediatric idiopathic intussusception.
  • To compare SILS outcomes with CLS.
  • To assess the efficacy of bimanual transabdominal approach for SILS reduction failures.

Main Methods:

  • Retrospective comparison of 23 patients with idiopathic intussusception.
  • Group 1: Conventional laparoscopy (CLS) (n=16, Jan 2011-Dec 2012).
  • Group 2: Single-incision laparoscopic surgery (SILS) (n=7, Jan 2013-Mar 2017), with bimanual transabdominal approach for reduction failures.

Main Results:

  • No significant differences in mean age, gender, or indication (radiological reduction failure).
  • Similar operative times and rates of ileocolic intussusception between SILS and CLS groups.
  • Conversion rates (SILS 28.6% vs. CLS 6.2%) and postoperative outcomes (time to feeding, hospital stay) were comparable, with successful bimanual reduction in SILS failures.

Conclusions:

  • SILS is a technically feasible option for pediatric intussusception.
  • SILS demonstrates comparable clinical outcomes to CLS.
  • The bimanual transabdominal approach is a viable rescue technique for SILS reduction failures.
Abstract

Keywords:
ChildrenIdiopathic intussusceptionLaparoscopySingle incisionTransabdominal bimanual reduction

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