He Yuanfei,Qi Shiqin,Wei Decheng,et al.Curative efficacy of single-port laparoscopic suspension for resecting intestinal duplication deformity[J].Journal of Clinical Pediatric Surgery,,():567-571.[doi:10.3760/cma.j.cn101785-202412045]
Curative efficacy of single-port laparoscopic suspension for resecting intestinal duplication deformity
- Keywords:
- Intestine; Small; Duplication of Intestine; Laparoscopes; Digestive System Surgical Procedures; Treatment Outcome
- Abstract:
- Objective To evaluate the feasibility and clinical efficacy of single-port laparoscopic suspension in resecting small intestinal duplication in children. Methods For this retrospective cohort study,the relevant clinical data were collected from 33 children undergoing resection of small intestinal duplication between January 2021 and December 2024.Based upon specific surgical approaches,they were assigned into two groups of single-port laparoscopic suspension (n=21) and laparoscopic-assisted exteriorization (n=12).Operative duration,intraoperative volume of blood loss,time to postoperative feeding,length of hospitalization stay and postoperative complications were compared for assessing the advantages and disadvantages of two approaches. Results All procedures were successfully completed.In single-port group,complete intracorporeal cyst resection and intestinal anastomosis were achieved.In laparoscopic-assisted group,bowel loops were exteriorized for cyst removal and anastomosis.The median operative duration was 64.00(61.00,65.00) min in single-port group and 62.00(56.25,74.50) min in laparoscopic-assisted group.There was no statistically significant difference (Z=-0.019,P=0.985).Intraoperative volume of blood loss was significantly lower in single-port group than that in laparoscopic-assisted group[5.30(5.00,5.40) vs. 10.00(10.00,10.75) mL](Z=-4.115,P<0.001).Time to postoperative oral intake was significantly shorter in single-port group than that in laparoscopic-assisted group[3.00(3.00,3.00) vs. 5.00(4.25,5.00) day](Z=-4.787,P<0.001).Postoperative hospitalization stay was significantly shorter in single-port group than that in laparoscopic-assisted group[5.00(4.00,6.00) vs. 7.5(6.0,10.0) day](Z=-4.510,P<0.001).Postoperative complications occurred in 3 cases in laparoscopic-assisted group (2 incision infections,1 suspected partial intestinal obstruction) while no complications occurred in single-port group.There was statistically significant difference (P=0.040).Drain placement rate was 14.3%(3/21) in single-port group and 16.7%(2/12) in laparoscopic-assisted group.There was no statistically significant difference (P=1.000).No cases of postoperative hemorrhage,incision infection,intestinal perforation or obstruction occurred in single-port group.Furthermore,only small scar beneath umbilicus was left,offering excellent cosmetics.No recurrence of intestinal duplication was noted in neither groups during 3-month follow-ups. Conclusion Single-port laparoscopic suspension resection for small intestinal duplication is a safe,effective and feasible surgical technique,offering minimal invasiveness,fewer complications and rapid recovery.
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Memo
收稿日期:2024-12-17。
通讯作者:戚士芹,Email:qishiqin@163.com