Laparoscopic approach for managing intussusception in children: Analysis of 65 cases

Table 1 Characteristics of the patients

Characteristic	Total (n = 65)
Age, means ± SD (range)	27.5 ± 24.5 mo (1 mo-13 yr)
Sex, n (%)
Male	45 (69.2)
Female	20 (30.8)
Time of onset, h, means ± SD	26.3 ± 7.8
Clinical presentations, n (%)
Paroxysmal crying or abdominal pain	60 (92.3)
Abdominal mass	45 (69.2)
Jam-colored bowel movements	48 (73.8)
Type of intussusception, n (%)
Primary	60 (92.3)
Secondary	5 (7.7)
Level of intussusceptum, n (%)
Ileum	3 (4.6)
Ascending colon	40 (61.5)
Transverse colon	22 (33.9)
Descending colon	0
Comorbidities, n (%)
Acute gastroenteritis	9 (13.8)
Respiratory infection	7 (10.8)
Urinary tract infection	1 (1.5)
Medication, n (%)
Probiotics	6 (9.2)
Proton pump inhibitor	8 (12.3)
Antibiotics	13 (20.0)
Gastrointestinal motility	4 (6.2)

SD: Standard deviation.

Table 2 Clinical characteristics and prognosis related to surgery

Characteristic	Total (n = 65)
Operation time, min, means ± SD	42.2 ± 12.2
Intraoperative blood loss, mL, means ± SD	2.2 ± 1.6
Conversion rate of laparotomy, n (%)	8 (12.3)
With a transverse incision in the right upper abdomen	1 (1.5)
With an extension of the umbilical incision	7 (10.8)
Reasons for conversion, n (%)
Abnormal bowel lesions	5 (7.7)
Intestinal necrosis	1 (1.5)
Severe bowel nesting	1 (1.5)
Postoperative pathology, n (%)
Lymphoma of the terminal ileum	2 (3.0)
Meckel’s diverticulum	1 (1.5)
Small intestinal duplication	1 (1.5)
Small intestine polyps	1 (1.5)
Intraoperative appendectomy	15 (23.1)
Postoperative hospital stay, d, means ± SD	4.5 ± 1.3
Postoperative complications, n (%)
Intestinal adhesion, intestinal obstruction	0
Infection of incision	0
Intussusception recurred	2 (3.0)

SD: Standard deviation.