Journal of Minimally Invasive Surgery

  • 제21권4호
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  • Pages.154-159
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  • 2018
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  • 2234-778X(pISSN)
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  • 2234-5248(eISSN)
대한내시경복강경외과학회 (The Korean Society of Endoscopic & Laparoscopic Surgeons)
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Feasibility of Laparoscopic Surgery for Intussusception in Pediatric Patients and Risk of Bowel Resection

  • Song, Eun Ju (Department of Surgery, Dong-A University College of Medicine, Dong-A Medical Center) ;
  • Nam, So Hyun (Department of Surgery, Dong-A University College of Medicine, Dong-A Medical Center)
  • 투고 : 2018.06.15
  • 심사 : 2018.08.27
  • 발행 : 2018.12.15
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Intussusception is a common cause of intestinal obstruction in children. While most patients can be treated by enema reduction, about 20% require surgery. We investigated the usefulness and feasibility of laparoscopic surgery and the intraoperative risk of bowel resection. Methods: We retrospectively reviewed pediatric patients who underwent surgery for intussusception from 2010 to 2017. We collected data for age, gender, body weight, associated symptoms, duration of symptoms, white blood cell count, operating time, and postoperative complications. Results: Of 155 patients, 37 (23.8%) underwent surgery due to enema reduction failure in 29 (78.3%), recurrence in 6 (16.3%), a suspicious lead point in 1, and suspicious ischemic change observed on ultrasonography in 1. The mean age was $26.8{\pm}18.9$ months (range, 3.5~76.7 months), and the mean body weight was $12.9{\pm}3.9kg$ (range, 5.4~22.2 kg). Laparoscopic surgery was successful in 29 patients (78.4%), and 7 (18.9%) needed bowel resection and anastomosis. The mean operating time was $56.7{\pm}32.8min$. A lead point was found in 3 patients in the bowel resection group (p=0.005); in addition, the operating time and hospital stay were longer in this group. There were no intra- or postoperative complications. Conclusion: Laparoscopic surgery was successful in 78.4% of the patients with a short hospital stay and early oral intake. The only predictive factor for bowel resection was the presence of a lead point. Laparoscopic surgery may be an optimal treatment intervention for children with intussusception, except for those who show initial peritonitis.

키워드

과제정보

연구 과제 주관 기관 : Dong-A University

참고문헌

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