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A multicentre comparative study between laparoscopic and open surgery for intussusception in adults.
1Department of Colorectal Surgery, Korea University Anam Hospital, Seoul, Korea.
Summary
Laparoscopic surgery (LS) is a feasible option for adult intussusception, offering shorter recovery times. However, open surgery (OS) may have fewer severe intra-operative complications.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Clinical Outcomes
Background:
- Adult intussusception is a rare condition necessitating surgical intervention.
- Laparoscopic surgery (LS) is increasingly utilized, yet its outcomes for adult intussusception remain underreported.
- This study addresses the limited data on LS versus open surgery (OS) for adult intussusception.
Purpose of the Study:
- To compare the feasibility and outcomes of laparoscopic surgery (LS) versus open surgery (OS) for treating adult intussusception.
- To evaluate the safety and efficacy of LS in adult intussusception cases.
- To analyze differences in recovery metrics and complication rates between LS and OS.
Main Methods:
- Retrospective review of medical records for adult patients diagnosed with intussusception between 2000 and 2016 across three tertiary hospitals.
- Patients were categorized into two groups: those treated with laparoscopic surgery (LS) and those treated with open surgery (OS).
- Surgical outcomes, including operative time, complication rates, time to first food intake, and hospital stay, were compared between the LS and OS groups.
Main Results:
- Surgery was performed on 71 adult patients (41 LS, 30 OS), with no significant age difference between groups.
- Laparoscopic surgery (LS) showed a shorter time to first food intake (4.0 vs 6.0 days) and hospital stay (7.0 vs 10.5 days) compared to open surgery (OS).
- While operative time and overall complication rates were similar, LS was associated with a higher incidence of severe intra-operative complications, including bowel perforation and major vessel injury, with one conversion from LS to OS.
Conclusions:
- Laparoscopic surgery (LS) appears feasible for treating adult intussusception, potentially leading to faster patient recovery.
- However, surgeons should be aware of the increased risk of severe intra-operative complications associated with LS in adult intussusception cases.
- Further research may be warranted to optimize LS techniques and patient selection for adult intussusception to mitigate risks.
