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A comparison of open and laparoscopic restorative proctocolectomy in children

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Abstract

Aim

To compare laparoscopic restorative proctocolectomy (RP) in children with the same operation performed using open surgery.

Methods

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.

Results

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).

Conclusions

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.

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Authors and Affiliations

  1. Department of Paediatric Surgery, The Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK

    Y. W. Tan & B. Jaffray

Authors
  1. Y. W. Tan
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  2. B. Jaffray
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Correspondence to B. Jaffray.

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Tan, Y.W., Jaffray, B. A comparison of open and laparoscopic restorative proctocolectomy in children. Pediatr Surg Int 25, 877–879 (2009). https://doi.org/10.1007/s00383-009-2443-6

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  • DOI: https://doi.org/10.1007/s00383-009-2443-6

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