{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:13:28Z","timestamp":1773706408314,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T00:00:00Z","timestamp":1450828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Assessing the role of laparoscopy in the management of intussusception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of children aged up to 17 years who had surgery for intussusception at this institution between 1 January 2004 and 31 December 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort of 44 individuals (18 females) presented at a median age of 9 months (range 2.5 months\u201315.75 years) with intussusception; 36 patients had undergone a failed pneumatic reduction. Thirty\u2010seven patients had an initial laparoscopic approach. Conversion was required in 13 individuals: inability to reduce a \u2018tight\u2019 intussusception in seven individuals, limited working space in four individuals, and inadequate tactile response in two individuals. Twenty\u2010four patients (54%) had the laparoscopic approach completed. An open approach was chosen for seven individuals at a median age of 5 (range 4\u201311) months: three individuals had marked abdominal distension, two individuals had a pneumoperitoneum and two individuals presented with a large central mass. Together with the 13 conversions, a total of 20 patients (46%) underwent an open approach. The more distal the apex of the intussusception, the more likely open surgery was. Hospital stays for the subgroup of patients with successfully completed laparoscopic intervention (<jats:italic>n<\/jats:italic> = 24) were shorter than for the open surgery group (<jats:italic>n<\/jats:italic> = 20) with <jats:italic>P<\/jats:italic> = 0.0145, but the open procedure was used to manage the more challenging cases. The subgroup of seven infants undergoing direct open surgery were significantly younger than the remaining individuals (<jats:italic>P<\/jats:italic> = 0.0046).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic intervention is meaningful in approximately 50% of children requiring a surgical reduction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13435","type":"journal-article","created":{"date-parts":[[2015,12,24]],"date-time":"2015-12-24T04:12:47Z","timestamp":1450930367000},"page":"504-508","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["What is the role of laparoscopic surgery in intussusception?"],"prefix":"10.1111","volume":"86","author":[{"given":"Christoph Heinrich","family":"Houben","sequence":"first","affiliation":[{"name":"Division of Paediatric Surgery and Paediatric Urology, Department of Surgery Prince of Wales Hospital  Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang\u2010Nan","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Statistics The Chinese University of Hong Kong  Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheung\u2010Ho","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Statistics The Chinese University of Hong Kong  Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwin Kin Wai","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Paediatric Surgery and Paediatric Urology, Department of Surgery Prince of Wales Hospital  Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim Hung","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Paediatric Surgery and Paediatric Urology, Department of Surgery Prince of Wales Hospital  Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,23]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2007.04228.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1201\/b13198-59"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.XPS.0000452988.01453.34"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90149-X"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2004.09.026"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.12.037"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.11.022"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2012.0174"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3717-1"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-02842-4.50086-3"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000246"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922813506255"},{"key":"e_1_2_5_14_1","first-page":"525","article-title":"Acute intestinal intussusception in children. 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