J Korean Assoc Pediatr Surg.  2013 Dec;19(2):66-72. 10.13029/jkaps.2013.19.2.66.

Laparoscopic Surgery for Intussusception in Children

• Yoon DH
• Nam SH

• KMID: 1961496
• DOI: http://doi.org/10.13029/jkaps.2013.19.2.66

Abstract

Intussusception is common cause of intestinal obstruction in children. Most of intussusceptions can be treated with non-operative reduction using air or barium. However, about 10% patients need operative treatment due to failure of reduction, peritonitis, and recurrence after reduction. We introduce our experience of laparoscopic surgery for intussusception. From April 2010 to March 2013, we reviewed 57 children who diagnosed intussusception. Twelve patients underwent an operation. The cause of operation was 7 of failure of air reduction and 5 of recurrence after air reduction. Median age was 21.5 months (range: 5.0~57.7 months) and 11 children (91.7%) underwent successful laparoscopic reduction. Median operating time was 50 minutes (range: 30~20 minutes) and median hospital days was 4.5 days (range: 3~8 days). One patient had a leading point as a heterotopic pancreas and underwent bowel resection through conversion. There was neither intra-operative nor postoperative complication. Laparoscopic reduction for intussusception can bring an excellent cosmetic effect with high success rate.

Keyword

Intussusception; Laparoscopy; Air reduction

MeSH Terms

Barium
Child*
Humans
Intestinal Obstruction
Intussusception*
Laparoscopy*
Pancreas
Peritonitis
Postoperative Complications
Recurrence
Barium