OUTCOMES OF LAPAROSCOPIC-ASSISTED SURGERY FOR ACUTE INTUSSUSCEPTION IN CHILDREN AT THAI NGUYEN NATIONAL HOSPITAL
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Abstract
Objective: To evaluate the outcomes of laparoscopic-assisted surgery for acute intussusception in children and to analyze factors associated with surgical outcomes.
Subjects and Methods: A descriptive study with retrospective and prospective data collection and longitudinal follow-up was conducted in 33 pediatric patients with acute intussusception who underwent laparoscopic-assisted surgery at the Department of Pediatric Surgery, Thai Nguyen National Hospital, from January 2020 to June 2026.
Results: The mean patient age was 22.76 ± 16.74 months. Males accounted for 69.7% of the patients, and 69.7% were aged ≤24 months. Intermittent abdominal pain was the most common clinical symptom, while failed pneumatic reduction was the main indication for surgery. Intraoperatively, 26/33 patients (78.8%) had bowel segments that were pink or hyperemic, while bowel resection was required in 3/33 patients (9.1%). Bowel resection was significantly associated with the time from symptom onset to surgery (p=0.010), intussusception mass diameter (p<0.001), and intussusception mass length (p=0.022). Patients who underwent bowel resection had significantly longer times to first flatus and resumption of oral feeding, with both outcomes occurring ≥4 days postoperatively (p<0.001). Surgical-site infection was more frequent in patients undergoing bowel resection than in those with bowel preservation (66.7% vs. 3.3%, p=0.017).
Conclusion: Laparoscopic-assisted surgery is a feasible and effective approach for the treatment of acute intussusception in children, allowing direct assessment of bowel viability, with a high rate of bowel preservation, a low complication rate, rapid postoperative recovery, and favorable outcomes.
Keywords
Intussusception, children, laparoscopic-assisted surgery, reduction, bowel resection
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References
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