Related Experiment Videos
Comparison of open and laparoscopic gastrostomy and fundoplication in 120 patients
J B Collins1, K E Georgeson, Y Vicente
1University of Alabama at Birmingham, USA.
Insights
Minimally invasive laparoscopic surgery for pediatric gastrostomy and fundoplication offers significant benefits. This approach leads to shorter hospital stays and earlier feeding tolerance compared to traditional open surgery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Techniques
- Surgical Innovation
Background:
- Minimally invasive surgical techniques are increasingly adopted in adult surgery.
- These advanced techniques are now being applied to pediatric surgical conditions.
- Anticipated benefits include reduced pain, faster recovery, and shorter hospitalizations.
Purpose of the Study:
- To compare outcomes of laparoscopic versus open gastrostomy and/or fundoplication in infants and children.
- To evaluate the efficacy and safety of minimally invasive approaches in pediatric surgery.
Main Methods:
- A retrospective comparison of the first 60 pediatric patients undergoing laparoscopic procedures with 60 patients undergoing open procedures.
- Patient groups were matched for age, sex, comorbidities, symptoms, and neurological status.
- Key outcome measures included hospital stay, postoperative recovery, and feeding tolerance.
Main Results:
- Laparoscopic group demonstrated shorter mean hospital stays (13.8 vs. 16.4 days) and postoperative stays (6.8 vs. 10.7 days).
- Patients in the laparoscopic group tolerated feeding significantly earlier (mean day 2.3 vs. 4.8).
- Postoperative complication rates were comparable between the laparoscopic and open groups.
Conclusions:
- Laparoscopic gastrostomy and fundoplication represent a less traumatic and effective alternative to open procedures in pediatric patients.
- The findings support the advantages of minimally invasive surgery for improved patient outcomes and resource utilization in pediatric surgical care.
Abstract:
The rapid development and incorporation of minimally invasive surgical techniques has abruptly changed adult surgical practices. These minimally invasive procedures are now being successfully applied to pediatric surgical problems. The anticipated benefits of these techniques include less postoperative pain, quicker return of bowel function, shorter hospital stay, and lower hospital costs, with a quicker return to normal activity. This report compares the first 60 infants and children to undergo laparoscopic gastrostomy and/or fundoplication at our institution with the same number of patients that underwent these procedures in the traditional open fashion. The two groups were similar with respect to age, sex, concurrent illness, presenting symptoms, neurological status, and procedures performed. Patients in the laparoscopic group were found to have shorter mean hospital and postoperative stays and tolerated feeding earlier. The mean hospital stay was 13.8 days for the laparoscopic group versus 16.4 days in the open group. The mean postoperative stay was 6.8 days for the laparoscopic group versus 10.7 days for the open group. The mean postoperative day on which feeding was tolerated was 2.3 in the laparoscopic group versus 4.8 in the open group. Postoperative complications were similar between the two groups. These results seem to reflect the less traumatic nature of the laparoscopic procedures as compared with the open procedures. Laparoscopic fundoplication and gastrostomy is an attractive alternative to open fundoplication and gastrostomy in infants and children.