Outcomes Following Laparoscopic Versus Open Surgery for Pediatric Intussusception: Analysis Using a National Inpatient Database in Japan
Laparoscopic surgery for pediatric intussusception has recently become more common as an alternative to open surgery. However, the differences in outcomes between laparoscopic and open surgery remain unclear. Thus, this study aimed to compare short-term surgical outcomes and recurrence rates between...
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| Veröffentlicht in: | Journal of pediatric surgery 2023-11, Vol.58 (11), p.2255-2261 |
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| container_title | Journal of pediatric surgery |
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| creator | Takamoto, Naohiro Konishi, Takaaki Fujiogi, Michimasa Kutsukake, Mai Morita, Kaori Hashimoto, Yohei Matsui, Hiroki Fushimi, Kiyohide Yasunaga, Hideo Fujishiro, Jun |
| description | Laparoscopic surgery for pediatric intussusception has recently become more common as an alternative to open surgery. However, the differences in outcomes between laparoscopic and open surgery remain unclear. Thus, this study aimed to compare short-term surgical outcomes and recurrence rates between patients treated with laparoscopic and open surgery for pediatric intussusception.
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| doi_str_mv | 10.1016/j.jpedsurg.2023.07.004 |
| format | Article |
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Patients aged <18 years who underwent laparoscopic (n = 192) and open (n = 416) surgery for intussusception between April 2016 and March 2021 were retrospectively identified using a Japanese nationwide inpatient database. Propensity-score overlap weighting analyses were conducted to compare the outcomes between the laparoscopic and open surgery groups. The outcomes included in-hospital morbidity, reoperation, readmission for intussusception, bowel resection, the diagnosis of Meckel's diverticulum, duration of anesthesia, postoperative length of hospital stay, and total hospitalization costs.
The laparoscopic surgery group was older, heavier, and had fewer congenital malformations and emergency admissions than the open surgery group did. Overlap weighting analyses showed no significant differences in in-hospital morbidity (odds ratio [95% confidence interval], 0.88 [0.35−2.23]), reoperation (1.88 [0.24−14.9]), readmission for intussusception within 30 days (0.80 [0.12−5.30]) and 1 year (0.90 [0.28−2.93]), bowel resection (0.69 [0.46–1.02]), the diagnosis of Meckel's diverticulum (0.97 [0.50−1.90]), duration of anesthesia (difference, 11 [-1−24] minutes), postoperative length of stay (difference, −1.9 [-4.2−0.4] days), or total hospitalization costs (difference, 612 [ −746−1970] US dollars) between the groups.
In this large nationwide cohort, no significant differences in outcomes were observed between laparoscopic and open surgery. Laparoscopic surgery is an acceptable treatment option for pediatric intussusception.
Level III.
•Laparoscopic surgery for pediatric intussusception had a shorter operative time and length of stay than open surgery in previous single-center reports.•This study demonstrated no significant differences in outcomes (e.g., morbidity, reoperation, and total hospitalization costs) between laparoscopic and open surgery, using a Japanese nationwide inpatient database.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2023.07.004</identifier><identifier>PMID: 37507337</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Intussusception ; Laparoscopic surgery ; Open surgery ; Pediatric population</subject><ispartof>Journal of pediatric surgery, 2023-11, Vol.58 (11), p.2255-2261</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-31074a134fc80455880a735899c7859c22ff824dcd353a185aa39cb178a0dbdb3</citedby><cites>FETCH-LOGICAL-c368t-31074a134fc80455880a735899c7859c22ff824dcd353a185aa39cb178a0dbdb3</cites><orcidid>0000-0002-7944-6923 ; 0000-0001-9451-8318 ; 0000-0002-2061-9017 ; 0000-0002-1894-0290</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpedsurg.2023.07.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37507337$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takamoto, Naohiro</creatorcontrib><creatorcontrib>Konishi, Takaaki</creatorcontrib><creatorcontrib>Fujiogi, Michimasa</creatorcontrib><creatorcontrib>Kutsukake, Mai</creatorcontrib><creatorcontrib>Morita, Kaori</creatorcontrib><creatorcontrib>Hashimoto, Yohei</creatorcontrib><creatorcontrib>Matsui, Hiroki</creatorcontrib><creatorcontrib>Fushimi, Kiyohide</creatorcontrib><creatorcontrib>Yasunaga, Hideo</creatorcontrib><creatorcontrib>Fujishiro, Jun</creatorcontrib><title>Outcomes Following Laparoscopic Versus Open Surgery for Pediatric Intussusception: Analysis Using a National Inpatient Database in Japan</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Laparoscopic surgery for pediatric intussusception has recently become more common as an alternative to open surgery. However, the differences in outcomes between laparoscopic and open surgery remain unclear. Thus, this study aimed to compare short-term surgical outcomes and recurrence rates between patients treated with laparoscopic and open surgery for pediatric intussusception.
Patients aged <18 years who underwent laparoscopic (n = 192) and open (n = 416) surgery for intussusception between April 2016 and March 2021 were retrospectively identified using a Japanese nationwide inpatient database. Propensity-score overlap weighting analyses were conducted to compare the outcomes between the laparoscopic and open surgery groups. The outcomes included in-hospital morbidity, reoperation, readmission for intussusception, bowel resection, the diagnosis of Meckel's diverticulum, duration of anesthesia, postoperative length of hospital stay, and total hospitalization costs.
The laparoscopic surgery group was older, heavier, and had fewer congenital malformations and emergency admissions than the open surgery group did. Overlap weighting analyses showed no significant differences in in-hospital morbidity (odds ratio [95% confidence interval], 0.88 [0.35−2.23]), reoperation (1.88 [0.24−14.9]), readmission for intussusception within 30 days (0.80 [0.12−5.30]) and 1 year (0.90 [0.28−2.93]), bowel resection (0.69 [0.46–1.02]), the diagnosis of Meckel's diverticulum (0.97 [0.50−1.90]), duration of anesthesia (difference, 11 [-1−24] minutes), postoperative length of stay (difference, −1.9 [-4.2−0.4] days), or total hospitalization costs (difference, 612 [ −746−1970] US dollars) between the groups.
In this large nationwide cohort, no significant differences in outcomes were observed between laparoscopic and open surgery. Laparoscopic surgery is an acceptable treatment option for pediatric intussusception.
Level III.
•Laparoscopic surgery for pediatric intussusception had a shorter operative time and length of stay than open surgery in previous single-center reports.•This study demonstrated no significant differences in outcomes (e.g., morbidity, reoperation, and total hospitalization costs) between laparoscopic and open surgery, using a Japanese nationwide inpatient database.</description><subject>Intussusception</subject><subject>Laparoscopic surgery</subject><subject>Open surgery</subject><subject>Pediatric population</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkcFu1DAQhi0EotvCK1Q-ckkYx_Hay4mqtLRo1a0E5WpNHKfyKmsH26HaN-Cx8Wpbrpw8sr-Z3_P_hJwzqBmw5cdtvZ1sn-b4WDfQ8BpkDdC-IgsmOKsEcPmaLACapuLtUp2Q05S2AOUa2FtywqUAyblckD-bOZuws4leh3EMT84_0jVOGEMyYXKG_rQxzYluJuvp9yJn454OIdJ72zvMsRC3Ps-pMMZO2QX_iV54HPfJJfqQDuOQ3uHhAceCTqW0PtMvmLHDZKnz9FvR8-_ImwHHZN8_n2fk4frqx-VNtd58vb28WFeGL1WuOAPZIuPtYBS0QigFKLlQq5WRSqxM0wyDatre9FxwZEog8pXpmFQIfdd3_Ix8OM6dYvg125T1zpWvjyN6G-akGyXalrOWNwVdHlFT3EjRDnqKbodxrxnoQwp6q19S0IcUNEhdUiiN588ac7ez_b-2F9sL8PkI2LLpb2ejTqbYYoqn0Zqs--D-p_EXBcSeQw</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Takamoto, Naohiro</creator><creator>Konishi, Takaaki</creator><creator>Fujiogi, Michimasa</creator><creator>Kutsukake, Mai</creator><creator>Morita, Kaori</creator><creator>Hashimoto, Yohei</creator><creator>Matsui, Hiroki</creator><creator>Fushimi, Kiyohide</creator><creator>Yasunaga, Hideo</creator><creator>Fujishiro, Jun</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7944-6923</orcidid><orcidid>https://orcid.org/0000-0001-9451-8318</orcidid><orcidid>https://orcid.org/0000-0002-2061-9017</orcidid><orcidid>https://orcid.org/0000-0002-1894-0290</orcidid></search><sort><creationdate>20231101</creationdate><title>Outcomes Following Laparoscopic Versus Open Surgery for Pediatric Intussusception: Analysis Using a National Inpatient Database in Japan</title><author>Takamoto, Naohiro ; Konishi, Takaaki ; Fujiogi, Michimasa ; Kutsukake, Mai ; Morita, Kaori ; Hashimoto, Yohei ; Matsui, Hiroki ; Fushimi, Kiyohide ; Yasunaga, Hideo ; Fujishiro, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-31074a134fc80455880a735899c7859c22ff824dcd353a185aa39cb178a0dbdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Intussusception</topic><topic>Laparoscopic surgery</topic><topic>Open surgery</topic><topic>Pediatric population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takamoto, Naohiro</creatorcontrib><creatorcontrib>Konishi, Takaaki</creatorcontrib><creatorcontrib>Fujiogi, Michimasa</creatorcontrib><creatorcontrib>Kutsukake, Mai</creatorcontrib><creatorcontrib>Morita, Kaori</creatorcontrib><creatorcontrib>Hashimoto, Yohei</creatorcontrib><creatorcontrib>Matsui, Hiroki</creatorcontrib><creatorcontrib>Fushimi, Kiyohide</creatorcontrib><creatorcontrib>Yasunaga, Hideo</creatorcontrib><creatorcontrib>Fujishiro, Jun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takamoto, Naohiro</au><au>Konishi, Takaaki</au><au>Fujiogi, Michimasa</au><au>Kutsukake, Mai</au><au>Morita, Kaori</au><au>Hashimoto, Yohei</au><au>Matsui, Hiroki</au><au>Fushimi, Kiyohide</au><au>Yasunaga, Hideo</au><au>Fujishiro, Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes Following Laparoscopic Versus Open Surgery for Pediatric Intussusception: Analysis Using a National Inpatient Database in Japan</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>58</volume><issue>11</issue><spage>2255</spage><epage>2261</epage><pages>2255-2261</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Laparoscopic surgery for pediatric intussusception has recently become more common as an alternative to open surgery. However, the differences in outcomes between laparoscopic and open surgery remain unclear. Thus, this study aimed to compare short-term surgical outcomes and recurrence rates between patients treated with laparoscopic and open surgery for pediatric intussusception.
Patients aged <18 years who underwent laparoscopic (n = 192) and open (n = 416) surgery for intussusception between April 2016 and March 2021 were retrospectively identified using a Japanese nationwide inpatient database. Propensity-score overlap weighting analyses were conducted to compare the outcomes between the laparoscopic and open surgery groups. The outcomes included in-hospital morbidity, reoperation, readmission for intussusception, bowel resection, the diagnosis of Meckel's diverticulum, duration of anesthesia, postoperative length of hospital stay, and total hospitalization costs.
The laparoscopic surgery group was older, heavier, and had fewer congenital malformations and emergency admissions than the open surgery group did. Overlap weighting analyses showed no significant differences in in-hospital morbidity (odds ratio [95% confidence interval], 0.88 [0.35−2.23]), reoperation (1.88 [0.24−14.9]), readmission for intussusception within 30 days (0.80 [0.12−5.30]) and 1 year (0.90 [0.28−2.93]), bowel resection (0.69 [0.46–1.02]), the diagnosis of Meckel's diverticulum (0.97 [0.50−1.90]), duration of anesthesia (difference, 11 [-1−24] minutes), postoperative length of stay (difference, −1.9 [-4.2−0.4] days), or total hospitalization costs (difference, 612 [ −746−1970] US dollars) between the groups.
In this large nationwide cohort, no significant differences in outcomes were observed between laparoscopic and open surgery. Laparoscopic surgery is an acceptable treatment option for pediatric intussusception.
Level III.
•Laparoscopic surgery for pediatric intussusception had a shorter operative time and length of stay than open surgery in previous single-center reports.•This study demonstrated no significant differences in outcomes (e.g., morbidity, reoperation, and total hospitalization costs) between laparoscopic and open surgery, using a Japanese nationwide inpatient database.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37507337</pmid><doi>10.1016/j.jpedsurg.2023.07.004</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7944-6923</orcidid><orcidid>https://orcid.org/0000-0001-9451-8318</orcidid><orcidid>https://orcid.org/0000-0002-2061-9017</orcidid><orcidid>https://orcid.org/0000-0002-1894-0290</orcidid></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Intussusception Laparoscopic surgery Open surgery Pediatric population |
| title | Outcomes Following Laparoscopic Versus Open Surgery for Pediatric Intussusception: Analysis Using a National Inpatient Database in Japan |
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