Emergency Transumbilical Single-site Laparoscopy for Persistent Intestinal Intussusception Caused by Small Intestinal Polyps in Children
10.3969/j.issn.1009-6604.2025.10.007
- VernacularTitle:急诊经脐单部位腹腔镜手术治疗小肠息肉致儿童持续性小肠套叠
- Author:
Xuelai LIU
1
;
Mao YE
1
;
Jianji XU
1
Author Information
1. 首都医科大学附属首都儿童医学中心普通外科,首都儿科研究所,北京 100020
- Publication Type:Journal Article
- Keywords:
Transumbilical single-site laparoscopy;
Polypectomy;
Children;
Intestinal intussusception
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(10):611-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of emergency transumbilical single-site laparoscopy for persistent intestinal intussusception in children.Methods From September 2019 to January 2025,32 children with persistent intestinal intussusception caused by small intestinal polyps underwent emergency transumbilical single-site laparoscopic exploration,intestinal intussusception reduction,and polypectomy.A 5-mm longitudinal incision was respectively made at the umbilical midline and the inferior edge of the umbilical ring for trocar placement.Under laparoscopic guidance,grasping forceps were used to explore the intestine from the ileocecal region to locate the intussuscepted bowel,followed by trying the laparoscopic instrumental reduction.The incision was further extended between the umbilical midline and the inferior edge of the umbilical ring to 3-4 cm length,and the intussuscepted bowel was externalized through the incision.Manual reduction was performed if the laparoscopic reduction failed.The intestinal segment containing the polyp was identified,and a longitudinal incision was made at the polyp site by using an electrocautery knife.The polyp was resected near the mucosal margin followed by closure of intestinal wall.Results Laparoscopic reduction was successful in 5 cases,while 27 cases required external manual reduction.Complete small bowel polyp screening was performed in all the cases.Polyp identification,localization,and resection were completed extracorporeally.Isolated polyps were found in 31 patients,and two polyps were identified in one patient.The mean operative time for all the 32 patients was(72.5±12.5)min,with no intraoperative complications.Pathological examination confirmed juvenile polyps in all the cases.All the 27 cases were followed up for 3-18 months(mean,6.5 months),of which 13 cases were followed up for more than 12 months.Ultrasound follow-up revealed no abnormalities,including intestinal leakage,wound infection,recurrence of intussusception,or polyp reoccurrence.Conclusion Emergency transumbilical single-site laparoscopy is a safe and feasible approach for persistent intestinal intussusception in children.
