{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:04:06Z","timestamp":1781251446590,"version":"3.54.1"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to compare the outcomes of laparoscopic Ladd\u2019s procedure (LL) and open Ladd\u2019s procedure (OL) for the treatment of intestinal malrotation in infants and children, focusing on operative parameters, postoperative recovery, and complications through a systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature search of PubMed, Embase, Web of Science, and the Cochrane Library was conducted up to June 2025 following PRISMA guidelines. Studies comparing LL and OL in pediatric patients (&lt;18\u00a0years) were included. Data were analyzed using Review Manager 5.4. Mean differences (MD) and odds ratios (OR) with 95% confidence intervals (CI) were calculated using fixed- or random-effects models depending on heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighteen studies including 3479 patients (LL: 928; OL: 2551) met the inclusion criteria. There was no significant difference in operative time between LL and OL (MD = 9.14, 95% CI: \u22124.01\u201322.28;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.17). However, LL showed shorter time to full intake (MD = \u22122.64 days;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and shorter hospital stay (MD = \u22123.19 days;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). LL was associated with lower rates of adhesive bowel obstruction (OR = 0.44;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and overall complications (OR = 0.39;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), but higher rates of postoperative volvulus (OR = 3.26;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002) and reoperation (OR = 1.67;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Laparoscopic Ladd\u2019s procedure offers advantages in postoperative recovery and reduced complication rates compared with the open approach, though it may carry a higher risk of volvulus and reoperation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506261460156","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:27:23Z","timestamp":1781051243000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Vs Open Ladd\u2019s Procedure for Intestinal Malrotation in Infants and Children: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","author":[{"given":"Yan","family":"Lang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengyu","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyuan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7198-9888","authenticated-orcid":false,"given":"Chen","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1764239"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2016.08.011"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.265055167"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM193610152151604"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2092(07)60040-4"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00189001"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00188488"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-016-3974-2"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000215"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2009.03.063"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2024.08.013"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1554914"},{"issue":"1","key":"e_1_3_6_14_2","first-page":"173","article-title":"Short-term curative effect of laparoscopic assisted surgery on patients with congenital intestinal malrotation and its effect on gastrointestinal function in very low birth weight infants","volume":"18","author":"Shen W","year":"2023","unstructured":"Shen W, Zhang YF. Short-term curative effect of laparoscopic assisted surgery on patients with congenital intestinal malrotation and its effect on gastrointestinal function in very low birth weight infants. Wideochir Inne Tech Maloinwazyjne. 2023;18(1):173-179.","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0602"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-022-01487-1"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-023-03046-1"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/109264103322614312"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0236"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2021.09.016"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.08.014"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0118"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.29271\/jcpsp.2023.02.222"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-018-4382-6"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2015.0544"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.10.046"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.01.042"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.04.016"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0436"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506261460156","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506261460156","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506261460156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:49:25Z","timestamp":1781250565000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506261460156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,9]]},"references-count":28,"alternative-id":["10.1177\/15533506261460156"],"URL":"https:\/\/doi.org\/10.1177\/15533506261460156","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,9]]},"article-number":"15533506261460156"}}