https://scholars.lib.ntu.edu.tw/handle/123456789/476156
標題: | Laparoscopic reduction of intussusception in children by a single surgeon in comparison with open surgery | 作者: | Kao C. SHENG-HONG TSENG Chen Y. |
關鍵字: | Intussusception; laparoscopy | 公開日期: | 2011 | 卷: | 20 | 期: | 3 | 起(迄)頁: | 141-145 | 來源出版物: | Minimally Invasive Therapy and Allied Technologies | 摘要: | The surgical approach for managing intussusception is controversial. In this study, a retrospective analysis of patients undergoing surgical reduction for intussusception over a period of five years was conducted. All patients received either open surgery or laparoscopic approach after failing enema reduction of intussusception. The clinical and operative data were collected and analyzed. Eight patients received open surgery (OPEN group), and 37 patients received laparoscopic surgery, while two (5.4%) of them converted to open surgery. The remaining 35 patients were included in the LAP group. There was no difference in age, gender, clinical symptoms and signs, duration of symptoms, level of intussusception, and complications between the OPEN and LAP groups. In contrast, the operation time and length of hospital stay in the LAP group were significantly shorter than those in the OPEN group (P = 0.013 and P = 0.001 respectively). No recurrence was disclosed in the OPEN group but three patients in the LAP group had recurrent intussusception (8.6%); however, the difference of the recurrence rate between these two groups was not statistically significant (P = 0.40). In conclusion, reducing intussusception with the laparoscopic approach is highly successful and can be performed first for stable patients requiring surgical intervention. ? 2011 Informa Healthcare. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957795987&doi=10.3109%2f13645706.2010.518801&partnerID=40&md5=8800de7abdf94e57eab938ede7df22cc https://scholars.lib.ntu.edu.tw/handle/123456789/476156 |
ISSN: | 1364-5706 | DOI: | 10.3109/13645706.2010.518801 | SDG/關鍵字: | enema; article; barium enema; child; clinical article; controlled study; female; hospitalization; human; infant; intermethod comparison; intussusception; laparoscopic surgery; length of stay; male; open surgery; operation duration; postoperative complication; preschool child; priority journal; recurrent disease; retrospective study; school child; surgical technique; Child; Child, Preschool; Female; Humans; Infant; Intussusception; Laparoscopy; Length of Stay; Male; Postoperative Complications; Recurrence; Retrospective Studies; Treatment Outcome |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。