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Original Article

Early Experience of Laparoscopic Adhesiolysis in Children with Postoperative Intestinal Obstruction

Jeongwoo Lee, M.D., Eunyoung Jung, M.D., Woo-Hyun Park, M.D., Soon-Ok Choi, M.D.
Journal of the Korean Association of Pediatric Surgeons 2013;19(1):32-38.
Published online: June 28, 2013

Department of Pediatric Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea.

Correspondence: Soon-Ok Choi, M.D., Department of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine, 194 Dongsan-dong, Jungu, Daegu 700-712, Korea. Tel: 053)250-7323, Fax: 053)250-7322, choi1635@dsmc.or.kr
• Received: May 6, 2013   • Accepted: June 20, 2013

Copyright © 2013 Korean Association of Pediatric Surgeons

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  • The purpose of this study is to analyze the early experience of the laparoscopic adhesiolysis for the intestinal obstruction due to postoperative adhesion. Seven patients were included in this study. The median age of those patients was 13, and there were 3 males and 4 females. Previous diagnosis and surgical procedure were various in seven cases, including small bowel resection with tapering enteroplasty, Boix-Ochoa fundopl ication, Ladd's procedure with appendectomy, mesenteric tumor resection with small bowel anastomosis, ileocecal resection and anastomosis, primary gastric repair, and both high ligation. A successful laparoscopic adhesiolysis was performed in one who had high ligation for inguinal hernia and had a single band adhesion. Six out of 7 (86%) cases needed to convert open surgery due to multiple and dense type of adhesion. In conclusion, laparoscopic approach with postoperative small bowel adhesion seems safe. However, it might be prudently considered because of high rates of conversion in children.
  • Keywords: Intestinal obstruction; Adhesion; Ileus; Laparoscopy; Children
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Table 1
Summary of the Case of Patients who was Operated on Laparoscopic Adhesiolysis

*Duration: The period between adhesiolysis and previous surgery, †op time (min), +Convt: conversion to open, F/U: follow up months, **MA: multiple adhesion, ‡SB: single band

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Early Experience of Laparoscopic Adhesiolysis in Children with Postoperative Intestinal Obstruction
J Korean Assoc Pediatr Surg. 2013;19(1):32-38.   Published online June 28, 2013
DOI: https://doi.org/10.13029/jkaps.2013.19.1.32
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
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Include:
Early Experience of Laparoscopic Adhesiolysis in Children with Postoperative Intestinal Obstruction
J Korean Assoc Pediatr Surg. 2013;19(1):32-38.   Published online June 28, 2013
DOI: https://doi.org/10.13029/jkaps.2013.19.1.32
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Early Experience of Laparoscopic Adhesiolysis in Children with Postoperative Intestinal Obstruction
Early Experience of Laparoscopic Adhesiolysis in Children with Postoperative Intestinal Obstruction

Summary of the Case of Patients who was Operated on Laparoscopic Adhesiolysis

*Duration: The period between adhesiolysis and previous surgery, †op time (min), +Convt: conversion to open, F/U: follow up months, **MA: multiple adhesion, ‡SB: single band

Table 1 Summary of the Case of Patients who was Operated on Laparoscopic Adhesiolysis

*Duration: The period between adhesiolysis and previous surgery, †op time (min), +Convt: conversion to open, F/U: follow up months, **MA: multiple adhesion, ‡SB: single band

Table 1

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