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Original Article

Laparoscopic Surgery for Intussusception in Children

Journal of the Korean Association of Pediatric Surgeons 2013;19(2):66-72.
Published online: December 24, 2013

Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.

Correspondence: So-Hyun Nam, M.D., Department of Pediatric Surgery, Inje University Haeundae Paik Hospital, 1435, Jwa-dong, Haeundae-gu, Busan 612-030, Korea. Tel: 051)797-0260, Fax: 051)797-0276, namsh@paik.ac.kr
• Received: July 31, 2013   • Accepted: September 27, 2013

Copyright © 2013 Korean Association of Pediatric Surgeons

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  • 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.
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Table 1
Clinical Characteristics of Patients

HD*: hospital days

SB R&A: small bowel resection and anastomosis

POD: post operative days

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Laparoscopic Surgery for Intussusception in Children
J Korean Assoc Pediatr Surg. 2013;19(2):66-72.   Published online December 24, 2013
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Laparoscopic Surgery for Intussusception in Children
J Korean Assoc Pediatr Surg. 2013;19(2):66-72.   Published online December 24, 2013
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Laparoscopic Surgery for Intussusception in Children
Laparoscopic Surgery for Intussusception in Children

Clinical Characteristics of Patients

HD*: hospital days

SB R&A: small bowel resection and anastomosis

POD: post operative days

Table 1 Clinical Characteristics of Patients

HD*: hospital days

SB R&A: small bowel resection and anastomosis

POD: post operative days