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A comparison of open and laparoscopic restorative proctocolectomy in children

Pediatric Surgery International volume 25, pages 877–879 (2009)Cite this article

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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References

  1. Parks AG, Nicholls RJ, Belliveau P (1980) Proctocolectomy with ileal reservoir and anal anastomosis. Br J Surg 67:533–538

    PubMed  Article  CAS  Google Scholar 

  2. Fonkalsrud EW (1996) Long-term results after colectomy and ileoanal pull-through procedure in children. Arch Surg 131:881–885

    PubMed  CAS  Google Scholar 

  3. McAllister I, Sagar PM, Brayshaw I et al (2009) Laparoscopic restorative proctocolectomy with and without previous subtotal colectomy. Colorectal Dis 11:296–301

    PubMed  Article  CAS  Google Scholar 

  4. Larson DW, Cima RR, Dozois EJ et al (2006) Safety, feasibility, and short-term outcomes of laparoscopic illeal-pouch-anal anastomosis—a single institutional case-matched experience. Ann Surg 243:667–672

    PubMed  Article  Google Scholar 

  5. Cornish JA, Tan E, Teare J et al (2007) The effect of restorative proctocolectomy on sexual function, urinary function, fertility, pregnancy and delivery: a systematic review. Dis Colon Rectum 50:1128–1138

    PubMed  Article  Google Scholar 

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Author information

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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Corresponding author

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

Keywords

  • Laparoscopic Group
  • Open Case
  • Restorative Proctocolectomy
  • Laparoscopic Case
  • Consecutive Cohort