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- Title
A comparison of open and laparoscopic restorative proctocolectomy in children.
- Authors
Tan, Y.; Jaffray, B.; Tan, Y W
- Abstract
<bold>Aim: </bold>To compare laparoscopic restorative proctocolectomy (RP) in children with the same operation performed using open surgery.<bold>Methods: </bold>Case-control comparison of two consecutive cohorts undergoing procto-colectomy by one surgeon. Outcome variables measured were: operating time, blood loss, hospital stay and complication rates.<bold>Results: </bold>Twenty-two children, mean age 13 years, underwent RP. Eleven laparoscopic cases were compared with the preceding open case. There was no difference in operating time (443 vs. 403 min, P = 0.479), blood loss (159 vs. 417 ml, P = 0.082), complication rate (4 vs. 1) or hospital stay (14 vs. 19 days, P = 0.192).<bold>Conclusions: </bold>Laparoscopic RP is feasible and safe in children. The small number of children recruited may mask benefits in blood loss and hospital stay for laparoscopic surgery.
- Subjects
RESTORATIVE proctocolectomy; LAPAROSCOPIC surgery; PEDIATRIC surgery; BLOOD loss estimation; OPERATIVE surgery; COMPARATIVE studies; INTESTINAL diseases; LAPAROSCOPY; RESEARCH methodology; MEDICAL cooperation; RESEARCH; EVALUATION research; CASE-control method
- Publication
Pediatric Surgery International, 2009, Vol 25, Issue 10, p877
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-009-2443-6