AI Article Synopsis
- The study explores the utilization of laparoscopic surgery for treating non-traumatic colon perforation in children, a topic not previously reported in detail.
- It involved 15 pediatric patients who underwent laparoscopic procedures, revealing that the most common cause was infective colitis, with caecal perforations being prevalent.
- Results showed successful interventions in 12 patients with a mean hospital stay of 7.3 days, suggesting laparoscopic management is preferable due to lower complications, though further studies are needed to compare it with traditional surgery.
Article Abstract
Purpose: Although recent reports have seen an increase in acceptance of laparoscopic surgery as treatment for traumatic colon injury, its role in the management of non-traumatic colon perforation in children has not been reported. In this study, we review our experience in laparoscopic non-resectional management for children who presented with non-traumatic colonic perforation.
Methods: Between October 2003 and May 2011, 15 children who had been diagnosed with colonic perforation and underwent laparoscopic surgery were included in the study. Their medical records were reviewed for analysis.
Results: The clinical manifestation of non-traumatic colon perforation in children was non-specific. The most likely aetiology was infective colitis. Solitary perforation at the caecum was the most common finding. The exact perforation site could not be identified in 3 patients. Nine patients had primary closure while 3 patients underwent wedge resection. The single trocar laparoscopic surgery was successful in 12 patients. The mean postoperative hospital stay was 7.3 days.
Conclusion: For children presenting with suspected non-traumatic colon perforation, laparoscopic management is the desirable approach. The peritoneal lavage, wedge excision and primary repair can be performed with single trocar techniques and is associated with minimal morbidity. Future prospective studies are needed to compare this minimally invasive approach with conventional open surgery.
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| http://dx.doi.org/10.1007/s00383-012-3246-8 | DOI Listing |
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