title: Laparoscopic Ladd's procedure for intestinal malrotation: report of three cases.
abstract: Ladd's procedure for laparoscopic repair of malrotation has many advantages over conventional surgical techniques, such as earlier feeding and discharge. However, this procedure is still not commonly used in Taiwan. This report describes the results of treatment of intestinal malrotation in three patients using laparoscopic Ladd's procedure. The patients, aged 8 days, 17 days, and 3 years, underwent laparoscopic Ladd's procedure between July 1999 and September 2000. All three patients had symptoms of intermittent vomiting and were shown to have intestinal malrotation by upper gastrointestinal series study. The procedure was performed using three trocars of 5 mm diameter placed at the infraumbilical ring and the right and left lower quadrants. All procedures were completed laparoscopically. The operative times were 4.8, 3.6, and 3.5 hours, respectively. Feeding was started on postoperative Day 2 to 5, and the hospital stay was 6 to 11 days. Our results suggest that laparoscopic Ladd's procedure can be performed safely in pediatric patients. In addition, patients are expected to benefit from the smaller incision, earlier feeding, shorter hospital stay, and fewer complications compared with traditional Ladd's procedure.
authors.affiliation: Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan.
authors.forename: Ming-Hsun
authors.initials: MH
authors.lastname: Wu
authors.forename: Wen-Ming
authors.initials: WM
authors.lastname: Hsu
authors.forename: Wen-Hsi
authors.initials: WH
authors.lastname: Lin
authors.forename: Hong-Shiee
authors.initials: HS
authors.lastname: Lai
authors.forename: King-Jen
authors.initials: KJ
authors.lastname: Chang
authors.forename: Wei-Jao
authors.initials: WJ
authors.lastname: Chen
mesh_terms: D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000601:surgery*; D007422:Intestines / Q000002:abnormalities*; D010535:Laparoscopy / Q000379:methods*; D008297:Male