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Laparoscopic Ladd's procedure in infants with malrotation
K D Bass1, S S Rothenberg, J H Chang
1Presbyterian St Luke's Columbia Medical Center and The Children's Hospital, Denver, CO, USA.
Journal of Pediatric Surgery
|March 14, 1998
Summary
Laparoscopic Ladd's procedure is a safe and effective surgical option for treating intestinal malrotation in infants. This minimally invasive technique offers comparable operative times to open surgery, with faster feeding and shorter hospital stays.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Intestinal malrotation is a congenital anomaly requiring surgical correction.
- Traditional open surgery for malrotation can involve significant recovery times.
- Laparoscopic techniques offer potential benefits in pediatric surgical procedures.
Purpose of the Study:
- To evaluate the feasibility of a laparoscopic approach for treating documented intestinal malrotation.
- To assess the safety and efficacy of the laparoscopic Ladd's procedure in neonates and infants.
Main Methods:
- A prospective study involving 12 patients (5 days to 4 months old) with symptomatic malrotation.
- Laparoscopic Ladd's procedure performed using three 3.5 mm trocars.
- Standard Ladd's procedure with appendectomy was completed in all cases.
Main Results:
- All laparoscopic procedures were successfully completed with an average operative time of 58 minutes.
- No surgical complications were reported; all patients experienced symptom resolution.
- Early feeding (POD 1 or 2) and short hospital stays (average 2.2 days) were observed.
Conclusions:
- Laparoscopic Ladd's procedure is a safe and effective treatment for intestinal malrotation.
- The technique is feasible in neonates and infants, comparable to open surgery.
- Laparoscopic approach facilitates earlier feeding and reduced hospital stays.