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Laparoscopy in the treatment of intussusception in children
I V Poddoubnyi1, A F Dronov, O I Blinnikov
1Department of Pediatric Surgery, Russian State Medical University, Moscow.
Insights
Laparoscopic surgery effectively treats pediatric intussusception when conservative methods fail. This minimally invasive approach shows high success rates for various intussusception forms without bowel necrosis.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Disorders
Background:
- Intussusception is a common surgical emergency in children.
- Conservative treatment for intussusception can be ineffective.
- Laparoscopic surgery offers a minimally invasive alternative.
Purpose of the Study:
- To describe the technique and outcomes of laparoscopic treatment for pediatric intussusception.
- To evaluate the efficacy of minimally invasive surgery after failed conservative management.
Main Methods:
- Analysis of 98 pediatric patients (2 months to 11 years) with intussusception.
- Application of a suggested laparoscopic surgical treatment scheme.
- Documentation of procedure success and conversion rates to open surgery.
Main Results:
- Laparoscopic treatment was successful in 65.3% of patients (64/98).
- Conversion to open surgery was required in 34.7% of cases (34/98).
- No mortality or intraoperative complications were reported.
Conclusions:
- Minimally invasive laparoscopic techniques are effective for various forms of pediatric intussusception.
- Modern videolaparoscopic equipment and atraumatic instruments facilitate successful reduction, even in complex cases without bowel necrosis.
Purpose:
The technique and outcome of minimally invasive laparoscopic treatment of various forms of intussusception in children after ineffective attempt at conservative treatment are described.
Methods:
Ninety-eight patients from 2 months to 11 years of age were analyzed.
Results:
Suggested scheme of surgical treatment using laparoscopic technique was successful in 64 patients (65.3%), and conversion to open procedure occurred in 34 (34.7%). There was no mortality or intraoperative complications in our series.
Conclusion:
Practically every form of intussusception without bowel necrosis, including the most complex forms, can be reduced now using modern videolaparoscopic equipment and atraumatic instruments.