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Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
Jianlei Chen1, Jian Wang1, Zhicheng Gu1
1Department of General Surgery, Soochow University Affiliated Children's Hospital, Suzhou, China.
Insights
Laparoscopic surgery successfully removed ileocaecal (IC) duplications in children without needing bowel resection. This minimally invasive approach offers a safe and effective treatment option, avoiding extensive surgery and promoting faster recovery.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Minimally Invasive Surgery
Background:
- Enteric duplication is a congenital anomaly requiring surgical intervention.
- Ileocaecal (IC) duplications present unique diagnostic and surgical challenges.
- Traditional treatment involves bowel resection and anastomosis.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic resection of IC duplications in children.
- To assess the efficacy of laparoscopy in avoiding bowel resection.
- To present surgical experience with a minimally invasive approach for IC duplication.
Main Methods:
- Retrospective review of 15 pediatric patients with IC duplication treated between November 2013 and September 2018.
- Analysis of surgical outcomes, including operative time, hospitalization, and follow-up.
- Assessment of diagnostic accuracy and safety of the laparoscopic technique.
Main Results:
- Successful laparoscopic resection of IC duplication was achieved in all 15 patients without bowel resection.
- Average operative time was 55 ± 10 minutes, with a 5-7 day hospitalization period.
- Follow-up (6-12 months) showed no recurrence via ultrasound, with minimal scarring.
Conclusions:
- Laparoscopic surgery enables accurate diagnosis and precise treatment of IC duplications.
- Laparoscopic excision without bowel resection is a safe and effective option for pediatric IC duplication.
- This minimally invasive technique is recommended for wider adoption in pediatric surgical practice.
Background:
Enteric duplication is a congenital anomaly with varied clinical presentation that requires surgical resection for definitive treatment. Ileocaecal (IC) duplications are duplications located at the IC junction, not clearly identified in all the published series. The reported treatment is IC resection and ileocolic anastomosis. The purpose of our study was to present our experience in successfully resection of IC duplication by laparoscope, thus avoiding bowel resection in children.
Materials And Methods:
A retrospective review was conducted of medical records of 15 patients with diagnosis of IC duplication, treated in the Department of Paediatric Surgery of our hospital, within the period from November 2013 to September 2018.
Results:
Laparoscopic resection of IC duplication was successfully performed in all children without bowel resection. The operation time was 50-90 min (55 10 min), and the post-operative hospitalization time was 5-7 days (average, 6 days). The 15 patients were followed up for 6-12 months (average, 10 months). No recurrence was found by abdominal ultrasound examination. The wound had small scars with good appearance of umbilicus.
Conclusions:
The laparoscopic approach allows for confirming the diagnosis and accurately defining the exact site of duplication, as well as for effective and safe treatment. Laparoscopic excision of IC duplication without bowel resection is a safe option and is worth promoting.
