Laparoscopic vs open surgical approach for intussusception requiring operative intervention.
OBJECTIVE
Laparoscopy has recently been used to treat intussusception that cannot be reduced radiologically. The effectiveness and practical nature of this approach has been questioned.


METHODS
This study retrospectively analyzed the authors' experience with this laparoscopic approach and compared this to the conventional open laparotomy procedure.


RESULTS
Sixteen patients were treated via laparoscopy, with 2 of these requiring conversions to an open procedure (12.5%). Twenty-five patients underwent an open reduction. Operative time was not significantly different (P = .698) between the laparoscopic (49.56 +/- 26.40 minutes) and open groups (45.00 +/- 24.74). Length of stay, however, was significantly reduced (P = .005) in the laparoscopic group (3.00 +/- 1.31 days) compared to the open group (4.52 +/- 1.98). Total hospital charges were lower in the laparoscopic group ($8171 +/- 2595) compared to the open group ($11,672 +/- 5466); this difference was not significant (P = .088). There were no significant differences in intra- or postoperative complication rates (P = .637) between the 2 approaches.


CONCLUSIONS
Although there remains a group who will require a conversion to an open procedure, the laparoscopic approach should be considered a safe and effective option for all children who do not respond to a radiological reduction.
Kia
Kevin F
KF
C.S. Mott Children's Hospital F3970, University of Michigan Health System, Ann Arbor, MI 48109-0245, USA.
Mony
Vidya K
VK
Drongowski
Robert A
RA
Golladay
Eustace S
ES
Geiger
James D
JD
Hirschl
Ronald B
RB
Coran
Arnold G
AG
Teitelbaum
Daniel H
DH
D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000601:surgery* / Q000628:therapy; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D015641:Radiography, Interventional; D012189:Retrospective Studies; D016896:Treatment Outcome