{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:45:12Z","timestamp":1768207512054,"version":"3.49.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"\n Objective<\/jats:title>\n This study aimed to evaluate the clinical efficacy of laparoscopic surgery for acute small bowel obstruction (SBO) in children.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n The retrospective study included children with acute SBO who were treated at Shanghai Children's Hospital from June 2014 to December 2023. Patients were categorized into one of the following two groups based on the operative approach they underwent: the laparoscopic surgery group and the open surgery group. Perioperative variables, including operative time, fasting duration, hospital stay, and complication rates, were evaluated. The primary outcome was length of hospital stay. Categorical variables were compared using the\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n or Fisher's exact test, and continuous variables were analyzed using the t-test or Mann\u2013Whitney\n U<\/jats:italic>\n test, depending on the data distribution. A\n P<\/jats:italic>\n -value\u2009&lt;\u20090.05 was considered statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In total, 40 patients underwent laparoscopic surgery and 40 underwent open surgery. Laparoscopic procedures were completed in 29 patients (72.5%), while 11 required conversions to open surgery. Compared with open surgery, laparoscopy resulted in a shorter hospital stay (median, 7.0 vs. 9.5 days;\n P<\/jats:italic>\n \u2009=\u20091.1\u2009\u00d7\u200910\n \u22125<\/jats:sup>\n ) and a shorter postoperative fasting period (median, 4.0 vs. 5.0 days;\n P<\/jats:italic>\n \u2009=\u20090.011). A sensitivity analysis that excluded patients with a history of prior abdominal surgery still supported the overall findings and also showed a lower hospitalization cost in the laparoscopic group (median, 22,025.25 vs. 25,777.50 CNY;\n P<\/jats:italic>\n \u2009=\u20090.013). The rates of intraoperative and postoperative complications were similar between the groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Laparoscopic surgery is a safe and effective option for pediatric acute SBO, offering faster recovery without increasing complication rates.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fped.2025.1697240","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T05:43:48Z","timestamp":1768196628000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute intestinal obstruction in children: a comparison of laparoscopic treatment and open surgery"],"prefix":"10.3389","volume":"13","author":[{"given":"Wei","family":"Wu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kezhe","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lulu","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weijue","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhibao","family":"Lv","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangbin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1620","DOI":"10.1097\/JS9.0000000000000171","article-title":"A new clinical severity score for the management of acute small bowel obstruction in predicting bowel ischemia: a cohort study","volume":"109","author":"Wassmer","year":"2023","journal-title":"Int J Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e71089","DOI":"10.7759\/cureus.71089","article-title":"Laparoscopic management of acute small bowel obstruction: a retrospective study at a Tertiary Center in the United Kingdom","volume":"16","author":"Subramanian","year":"2024","journal-title":"Cureus"},{"key":"B3","doi-asserted-by":"publisher","first-page":"313","DOI":"10.4103\/aam.aam_111_23","article-title":"Acute small-bowel obstruction: an appraisal of common etiology and management at the Federal Medical Centre, Keffi, North-Central Nigeria","volume":"23","author":"Adejumo","year":"2024","journal-title":"Ann Afr Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1002\/bjs.10105","article-title":"Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery","volume":"103","author":"Yamada","year":"2016","journal-title":"Br J Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1097\/SLA.0000000000002369","article-title":"Laparoscopic surgery for adhesive small bowel obstruction is associated with a higher risk of bowel injury: a population-based analysis of 8584 patients","volume":"266","author":"Behman","year":"2017","journal-title":"Ann Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1016\/S2468-1253(19)30016-0","article-title":"Laparoscopic versus open adhesiolysis for adhesive small bowel obstruction (lasso): an international, multicentre, randomised, open-label trial","volume":"4","author":"Sallinen","year":"2019","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1007\/s00464-003-9233-3","article-title":"Fewer adhesions induced by laparoscopic surgery?","volume":"18","author":"Gutt","year":"2004","journal-title":"Surg Endosc"},{"key":"B8","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1089\/Lap.2010.0165","article-title":"Laparoscopic management of small bowel obstruction in children","volume":"21","author":"Aguayo","year":"2011","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"B9","doi-asserted-by":"publisher","first-page":"3927","DOI":"10.1007\/s00464-013-2891-x","article-title":"Laparoscopic treatment for adhesive small bowel obstruction: is it the gold standard in children too?","volume":"27","author":"Apelt","year":"2013","journal-title":"Surg Endosc"},{"key":"B10","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00383-017-4186-0","article-title":"Laparoscopy or laparotomy for adhesive bowel obstruction in children: a systematic review and meta-analysis","volume":"34","author":"Miyake","year":"2018","journal-title":"Pediatr Surg Int"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1539677","DOI":"10.3389\/fped.2025.1539677","article-title":"Acute small bowel obstruction caused by a fan-shaped congenital band in a child: a case report","volume":"13","author":"Lan","year":"2025","journal-title":"Front Pediatr"},{"key":"B12","doi-asserted-by":"publisher","first-page":"6275","DOI":"10.3390\/jcm11216275","article-title":"Laparoscopic management of acute small bowel obstruction in non-selected patients: a 10-year experience","volume":"11","author":"Petrou","year":"2022","journal-title":"J Clin Med"},{"key":"B13","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1186\/s12893-024-02662-2","article-title":"Acute intestinal obstruction caused by gastrointestinal foreign bodies in children: a comparison of laparoscopically assisted approach and open surgery","volume":"24","author":"Dong","year":"2024","journal-title":"BMC Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.yasu.2011.03.017","article-title":"Current management of small bowel obstruction","volume":"45","author":"Zielinski","year":"2011","journal-title":"Adv Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"4006","DOI":"10.1007\/s00464-025-11771-9","article-title":"Feasibility of the Hinotori\u2122 surgical robot system in right colectomy: a propensity score matching study","volume":"39","author":"Fujii","year":"2025","journal-title":"Surg Endosc"},{"key":"B16","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s13017-018-0185-2","article-title":"Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the World Society of Emergency Surgery ASBO working group","volume":"13","author":"Ten Broek","year":"2018","journal-title":"World J Emerg Surg"},{"key":"B17","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1016\/j.jss.2019.05.061","article-title":"Management of pediatric adhesive small bowel obstruction: do timing of surgery and age matter?","volume":"243","author":"Hyak","year":"2019","journal-title":"J Surg Res"},{"key":"B18","doi-asserted-by":"publisher","first-page":"184","DOI":"10.4103\/0971-9261.186549","article-title":"Laparoscopic retrieval of unusual intra-abdominal foreign bodies in children","volume":"21","author":"Lone","year":"2016","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"B19","doi-asserted-by":"publisher","first-page":"3634","DOI":"10.1177\/00031348231167404","article-title":"A foreign body in an unexpected place-ingested hardware nails within the appendix","volume":"89","author":"Monreal","year":"2023","journal-title":"Am Surg"},{"key":"B20","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1097\/SLA.0000000000003107","article-title":"Population level analysis of adhesive small bowel obstruction: sustained advantage of a laparoscopic approach","volume":"271","author":"Udelsman","year":"2020","journal-title":"Ann Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1043470","DOI":"10.3389\/fsurg.2023.1043470","article-title":"Diagnosis and surgical management strategy for pediatric small bowel obstruction: experience from a single medical center","volume":"10","author":"Liu","year":"2023","journal-title":"Front Surg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1186\/s13017-023-00520-9","article-title":"Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma","volume":"18","author":"Sermonesi","year":"2023","journal-title":"World J Emerg Surg"},{"key":"B23","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1007\/s00464-011-1885-9","article-title":"The role of laparoscopy in the management of acute small-bowel obstruction: a review of over 2,000 cases","volume":"26","author":"O'Connor","year":"2012","journal-title":"Surg Endosc"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4253\/wjge.v14.i1.1","article-title":"Safety considerations in laparoscopic surgery: a narrative review","volume":"14","author":"Madhok","year":"2022","journal-title":"World J Gastrointest Endosc"},{"key":"B25","doi-asserted-by":"publisher","first-page":"16","DOI":"10.3390\/microorganisms4010016","article-title":"Extensive intestinal resection triggers behavioral adaptation, intestinal remodeling and microbiota transition in short bowel syndrome","volume":"4","author":"Mayeur","year":"2016","journal-title":"Microorganisms"},{"key":"B26","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1055\/s-0042-100456","article-title":"Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline","volume":"48","author":"Birk","year":"2016","journal-title":"Endoscopy"},{"key":"B27","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1097\/PRS.0000000000002245","article-title":"Strategies for postoperative seroma prevention: a systematic review","volume":"138","author":"Janis","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"B28","doi-asserted-by":"publisher","first-page":"W105","DOI":"10.2214\/AJR.10.4998","article-title":"Small bowel obstruction","volume":"198","author":"Mullan","year":"2012","journal-title":"AJR Am J Roentgenol"},{"key":"B29","doi-asserted-by":"publisher","first-page":"10030","DOI":"10.1038\/s41598-025-94683-x","article-title":"Differences in the rates of seroma complications between hernial sac transection and reduction after laparoscopic inguinal hernia repair: systematic review and meta-analysis","volume":"15","author":"Supsamutchai","year":"2025","journal-title":"Sci Rep"},{"key":"B30","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1007\/s13304-018-0534-4","article-title":"Laparoscopic adhesiolysis: not for all patients, not for all surgeons, not in all centres","volume":"70","author":"Di Saverio","year":"2018","journal-title":"Updates Surg"},{"key":"B31","first-page":"15","article-title":"Avoiding and repairing bowel injury in gynecologic surgery","volume":"16","author":"Perkins","year":"2004","journal-title":"OBG Management"},{"key":"B32","doi-asserted-by":"publisher","first-page":"1605","DOI":"10.1016\/j.jpedsurg.2014.06.009","article-title":"A new paradigm of scarless abdominal surgery in children: transumbilical minimal incision surgery","volume":"49","author":"Tsuji","year":"2014","journal-title":"J Pediatr Surg"},{"key":"B33","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1067\/mge.2001.117760","article-title":"Laparoscopic adhesiolysis for recurrent small bowel obstruction: long-term follow-up","volume":"54","author":"Sato","year":"2001","journal-title":"Gastrointest Endosc"},{"key":"B34","doi-asserted-by":"publisher","first-page":"1372","DOI":"10.3390\/cancers17081372","article-title":"Adrenalectomy performed with the Da Vinci single-port robotic system: a systematic review and pooled analysis","volume":"17","author":"Reitano","year":"2025","journal-title":"Cancers"},{"key":"B35","doi-asserted-by":"publisher","first-page":"3959","DOI":"10.1007\/s00464-025-11775-5","article-title":"Clinical outcomes and cost-effectiveness analysis of robotic and endoscopic cooperative surgery for treating gastric submucosal tumors: a longitudinal nested cohort study","volume":"39","author":"Ma","year":"2025","journal-title":"Surg Endosc"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1697240\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T05:43:49Z","timestamp":1768196629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1697240\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,12]]},"references-count":35,"alternative-id":["10.3389\/fped.2025.1697240"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1697240","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,12]]},"article-number":"1697240"}}