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A Multi-Centric Comparative Study Between Endoscopy-Assisted Laparoscopic Surgery (EALS) vs Laparoscopic Surgery for
Yanmei Luo1, Jie Liu2, Zhihui Jiang3
1Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Insights
Endoscopy-assisted laparoscopic surgery (EALS) offers a safer and more effective treatment for gastric duplication cysts (GDCs) compared to traditional laparoscopic surgery (LS). EALS significantly reduces surgical time, blood loss, and recovery periods for pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Minimally Invasive Surgery
Background:
- Gastric duplication cysts (GDCs) are rare congenital anomalies.
- Surgical intervention is the primary treatment for symptomatic GDCs.
- Evaluating minimally invasive surgical techniques is crucial for improving patient outcomes.
Purpose of the Study:
- To compare the therapeutic effects of endoscopy-assisted laparoscopic surgery (EALS) and laparoscopic surgery (LS) for treating gastric duplication cysts (GDCs).
- To analyze the efficacy and safety of EALS versus LS in pediatric patients with GDCs.
Main Methods:
- Retrospective review of clinical data from pediatric patients with GDCs treated between September 2014 and November 2022.
- Comparison of outcomes between patients who underwent EALS (n=14) and those who underwent LS (n=15).
- Analysis included surgical time, intraoperative blood loss, postoperative fasting time, and hospital stay.
Main Results:
- EALS group showed significantly shorter average surgical time (1.100 ± 0.833 hours) compared to LS (1.933 ± 0.159 hours).
- EALS resulted in significantly less intraoperative blood loss (7.93 ± 3.81 ml) and shorter postoperative fasting times (73.79 ± 8.36 hours) and hospital stays (10.21 ± 4.25 days).
- No significant differences were observed in patient demographics or cyst characteristics between the groups.
Conclusions:
- Endoscopy-assisted laparoscopic surgery (EALS) is a safe and reliable technique for treating gastric duplication cysts.
- EALS offers advantages over traditional laparoscopic surgery, including reduced surgical time, minimized injury, and fewer complications.
- EALS facilitates accurate cyst localization and improved postoperative recovery in pediatric patients.
Purpose:
To compare and analyze the therapeutic effects of endoscopy-assisted laparoscopic surgery (EALS) and laparoscopic surgery (LS) in the treatment of gastric duplication cysts (GDCs).
Patients And Methods:
We reviewed the clinical data of children with GDCs who underwent surgical treatment at Hubei Maternal and Child Health Hospital, Yijishan Hospital of Wannan Medical College, and Qingdao Women and Children's Medical Center from September 2014 to November 2022.
Results:
The study comprised 29 children with GDCs, including 14 in the EALS group and 15 in the LS group. There was no significant difference between the two groups in terms of age, sex, weight, and cyst size characteristics. There was a significant difference between the two groups in terms of average surgical time (P>0.05), which was 1.100 ± 0.833 hours in the EALS group and 1.933 ± 0.159 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average intraoperative blood loss, which was 7.93 ± 3.81 milliliters in the EALS group and 11.80 ± 2.72 milliliters in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative fasting time, which was 73.79 ± 8.36 hours in the EALS group and 114.1 ± 9.24 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative hospital stay, which was 10.21 ± 4.25 days in the EALS group and 14.47 ± 4.36 days in the LS group.
Conclusion:
EALS technology can not only shorten surgical time, accurately locate GDCs, reduce injuries, and decrease the probability of complications but also achieve treatment goals safely and reliably.
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