Y W Tan1, B Jaffray. 1. Department of Paediatric Surgery, The Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK.
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.
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.
Authors: David W Larson; Robert R Cima; Eric J Dozois; Michael Davies; Karen Piotrowicz; Sunni A Barnes; Bruce Wolff; John Pemberton Journal: Ann Surg Date: 2006-05 Impact factor: 12.969
Authors: Julie A Cornish; Emile Tan; Julian Teare; Teoh G Teoh; Raj Rai; Ara W Darzi; Paraskeva Paraskevas; Susan K Clark; Paris P Tekkis Journal: Dis Colon Rectum Date: 2007-08 Impact factor: 4.585