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Cited 6 time in webofscience Cited 5 time in scopus
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A multicentre comparative study between laparoscopic and open surgery for intussusception in adults

Authors
Kang, Sang heeLee, Sun IlMin, Byung WookLee, Tae HoonBaek, Se JinKwak, Jung MyunKim, JinKim, Seon HahnKim, Jung SikJi, Woong BaeUm, Jun WonHong, Kwang Dae
Issue Date
Oct-2020
Publisher
Blackwell Publishing Inc.
Keywords
Adult intussusception; laparoscopic surgery; open surgery
Citation
Colorectal Disease, v.22, no.10, pp.1415 - 1421
Indexed
SCIE
SCOPUS
Journal Title
Colorectal Disease
Volume
22
Number
10
Start Page
1415
End Page
1421
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/748
DOI
10.1111/codi.15102
ISSN
1462-8910
Abstract
Aim Intussusception in adults is rare and requires surgery in most cases. While abdominal laparoscopic surgery (LS) is becoming more popular, there are few reports on the outcomes of adult intussusception treated with LS. This study compared the feasibility of LS vs open surgery (OS) for adult intussusception. Method We reviewed retrospectively the medical records of adult patients with intussusception from three tertiary hospitals between 2000 and 2016. The patients were divided into LS and OS groups, and their surgical outcomes were compared. Results Surgery was indicated in 71 patients with intussusception (41 LS and 30 OS). The median age of the patients was 49.0 and 51.5 years in the LS and OS groups, respectively (P = 0.930). Overall, nine (12.7%) patients had a negative laparotomy or laparoscopy with spontaneous reduction of the intussusception. Conversion to OS from LS was necessary in one patient (2.4%). The operative time and intra-operative and postoperative complication rates were not significantly different. However, there were more serious complications such as bowel perforation and major vessel injury in the LS group. The patients in the LS group had a shorter time to first food intake and hospital stay vs patients in the OS group (4.0 vs 6.0 days, P < 0.001, and 7.0 vs 10.5 days, P < 0.001, respectively). Conclusion LS may be feasible for adult intussusception; there may be more severe intra-operative complications than in OS.
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Anam Hospital (Department of Colon and Rectal Surgery, Anam Hospital)
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