Comparison of laparoscopic-assisted and open total proctocolectomy and ileal pouch anal anastomosis in children and adolescents.


BACKGROUND:Laparoscopic techniques have been applied to restorative proctocolectomy since the early 2000's. We have employed a technique for laparoscopic-assisted total proctocolectomy (TPC) and ileal pouch anal anastomosis (IPAA) for the treatment of children with ulcerative colitis (UC). METHODS:We retrospectively reviewed 68 laparoscopic-assisted TPCs and 39 open TPCs performed at our institution for UC between January 1997 and February 2011. Case duration, postoperative length of stay, and complications of the two groups were compared, and multivariable analysis was applied. RESULTS:The two groups were comparable with respect to gender, age, and postoperative length of stay. Total abdominal colectomy (TAC) duration was significantly longer in the laparoscopic-assisted group (P < .001). Complications were similar in the laparoscopic and open group, although small bowel obstruction (SBO) was significantly less frequent in the laparoscopic group (log-rank test = 8.88, P = .003). Kaplan-Meier estimated freedom from SBO at 1 year follow-up is 99% for patients treated laparoscopically (95% CI: 98%-100%) and 76% for those undergoing an open surgical approach (95% CI: 64%-88%). CONCLUSIONS:The significantly lower SBO rate, low complication rates, and equivalent length of stay favor use of the laparoscopic-assisted approach for TPC and IPAA in children.


J Pediatr Surg


Linden BC,Bairdain S,Zurakowski D,Shamberger RC,Lillehei CW




Has Abstract


2013-07-01 00:00:00














  • Surfactant levels after reversible tracheal occlusion and prenatal steroids in experimental diaphragmatic hernia.

    abstract:BACKGROUND/PURPOSE:In normal lungs, fetal tracheal occlusion (TO) induces lung growth but decreases the number of type II cells; this is remedied if TO is released (TR) before delivery. In the current study, the effects of TO with or without TR on pulmonary structure and surfactant were assessed in the ovine model in w...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Bratu I,Flageole H,Laberge JM,Possmayer F,Harbottle R,Kay S,Khalife S,Piedboeuf B

    更新日期:2001-01-01 00:00:00

  • Long-term results of intestinal transplantation for pseudo-obstruction in children.

    abstract:PURPOSE:The aim of this study was to determine long-term results of intestinal transplantation in children with pseudo-obstruction, particularly when stomach and colon are not part of the allograft. METHODS:The authors conducted a case-record review of all children who underwent transplantation at our center for a pri...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Iyer K,Kaufman S,Sudan D,Horslen S,Shaw B,Fox I,Langnas A

    更新日期:2001-01-01 00:00:00

  • Double atresia of the hindgut.

    abstract::An unusual case of double atresia of the rectum, including an imperforate anus is reported. The author was unable to find a similar case published before. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Martinez-Frontanilla LA

    更新日期:1991-07-01 00:00:00

  • Evolving applications of fluorescence guided surgery in pediatric surgical oncology: A practical guide for surgeons.

    abstract::Fluorescence-guided surgery (FGS) is an increasingly available and popular method of visual field augmentation. The basic premise of FGS entails injection of fluorescent indocyanine green (ICG) and subsequent detection with a near-infrared (NIR) camera. For pediatric surgical oncologists, FGS remains experimental but ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审


    authors: Goldstein SD,Heaton TE,Bondoc A,Dasgupta R,Abdelhafeez A,Davidoff AM,Lautz TB

    更新日期:2020-10-19 00:00:00

  • Information on the World Wide Web--how useful is it for parents?

    abstract:AIM:An enormous amount of information about pediatric surgical conditions is available on the World Wide Web (www). Our aim was to ascertain how many parents accessed the www and how useful they found the exercise. METHOD:Over a 2-month period, all parents attending the surgical outpatient clinics were asked to comple...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Sim NZ,Kitteringham L,Spitz L,Pierro A,Kiely E,Drake D,Curry J

    更新日期:2007-02-01 00:00:00

  • Delayed neutropenic enterocolitis in a 12-year-old girl treated with total colectomy and J-pouch reservoir.

    abstract::Neutropenic enterocolitis (NE) is a clinicopathologic condition characterized by bowel wall inflammation, which can proceed to necrosis and perforation. It is mostly seen in neutropenic patients with leukemia who undergo induction treatment with chemotherapy. Most often the cecum is involved. The authors present a 12-...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Larsen TK,Qvist N,Bak M

    更新日期:2001-07-01 00:00:00

  • Experimental pulmonary hypoplasia and oligohydramnios: relative contributions of lung fluid and fetal breathing movements.

    abstract::Inhibition of fetal breathing movements or increased loss of fetal lung fluid into the amniotic space have been suggested as two possible mechanisms causing pulmonary hypoplasia in the setting of oligohydramnios (OH). We examined the effect of OH produced by amniotic fluid shunting (AS) into the maternal abdominal cav...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Adzick NS,Harrison MR,Glick PL,Villa RL,Finkbeiner W

    更新日期:1984-12-01 00:00:00

  • Evaluation of Nissen fundoplication in neurologically impaired children.

    abstract::The value of performing Nissen fundoplication in neurologically impaired children is a controversial issue. To evaluate the benefit of fundoplication in these children, hospital records were reviewed for 77 children who underwent fundoplication for gastroesophageal reflux (GER). Fifty-two children were neurologically ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Rice H,Seashore JH,Touloukian RJ

    更新日期:1991-06-01 00:00:00

  • Prostatorectal fistula associated with tubular colorectal duplication.

    abstract::Tubular colonic duplications are exceedingly rare. The authors present an unusual case of a boy with a persistent prostatorectal fistula resulting from a tubular colorectal duplication. The current case is unique for 2 reasons: (1) the presence of a fistula without any concomitant genitourinary anomalies and (2) the e...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kokoska ER,Steinhardt GF,Tomita SS,Weber TR

    更新日期:1999-10-01 00:00:00

  • Aganglionosis in rodents.

    abstract::The etiology of aganglionosis of the bowel remains controversial. Initial embryological studies in chicks, mice, and humans suggested the defect was in the migratory capacity of the vagal neural crest cells. This traditional theory has recently been challenged by the demonstration of a defect in the local microenviron...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Cass DT,Zhang AL,Morthorpe J

    更新日期:1992-03-01 00:00:00

  • Postcatheterization urethral strictures following cardiac surgery in children.

    abstract::Ten children among 221 with congenital cardiac anomalies developed urinary symptoms after removal of urethral catheters, which were routinely inserted for monitoring purposes during and after cardiac surgery. Six children developed urethral strictures. Poor tissue perfusion concomitant with serious congenital cardiac ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Prabhu S,Cochran W,Raine PA,Azmy AF

    更新日期:1985-02-01 00:00:00

  • Anomalous congenital bands causing intestinal obstruction in children.

    abstract::The records of eight patients treated for intestinal obstruction resulting from bands that have no identifiable embryologic or acquired basis were reviewed retrospectively. All patients presented with symptoms and signs indicative of intestinal obstruction. Patients older than 2 years of age additionally had a history...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Akgür FM,Tanyel FC,Büyükpamukçu N,Hiçsönmez A

    更新日期:1992-04-01 00:00:00

  • Epithelio-mesenchymal interactions in the developing mouse pancreas: morphogenesis of the adult architecture.

    abstract:BACKGROUND/PURPOSE:The mammalian pancreas is thought to develop through a complex interaction between the budding epithelium and the surrounding mesenchyme. The exact nature of this interaction is unclear. Most of what is known to date of these interactions comes from a series of organ culture experiments done in the l...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Rose MI,Crisera CA,Colen KL,Connelly PR,Longaker MT,Gittes GK

    更新日期:1999-05-01 00:00:00

  • Does earlier lobectomy result in better long-term pulmonary function in children with congenital lung anomalies? A prospective study.

    abstract:BACKGROUND:Management of asymptomatic congenital pulmonary airway malformations remains controversial when addressing the optimal timing of surgical resection. Neonatal resection is advocated by some based on the theory that earlier lobectomy results in greater compensatory lung growth. We examined whether age at lobec...

    journal_title:Journal of pediatric surgery

    pub_type: 临床试验,杂志文章


    authors: Naito Y,Beres A,Lapidus-Krol E,Ratjen F,Langer JC

    更新日期:2012-05-01 00:00:00

  • Experiences with the use of the Port-a-Cath in children.

    abstract::Over a period of 18 months, we have inserted 20 Port-a-Caths in 19 children between the ages of 8 1/2 months and 18 years. The smallest child weighed 7 k. Three others weighed less than 12 k. The indication in all cases except two was the administration of cancer chemotherapy. The devices have been in use for periods ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Soucy P

    更新日期:1987-08-01 00:00:00

  • Neurodevelopmental outcome in neonates after extracorporeal membrane oxygenation: cranial magnetic resonance imaging and ultrasonography correlation.

    abstract::Irreversible ligation of the right common carotid artery and right internal jugular vein is usual in venoarterial extracorporeal membrane oxygenation (ECMO) for treatment of severe respiratory failure in neonates. Vessel ligation with ECMO may magnify risks of cerebral hemorrhage or infarction (CHI) and adversely affe...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Griffin MP,Minifee PK,Landry SH,Allison PL,Swischuk LE,Zwischenberger JB

    更新日期:1992-01-01 00:00:00

  • A perspective for pediatric surgeons: chronic idiopathic intestinal pseudoobstruction.

    abstract::Chronic idiopathic intestinal pseudoobstruction (CIIP) is a disorder of alimentary tract motility with onset of symptoms in adolescence or young adulthood, characterized by recurring attacks of abdominal pain, distention, vomiting, and constipation often leading to malnutrition and death. Starting with an adolescent p...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Shaw A,Shaffer H,Teja K,Kelly T,Grogan E,Bruni C

    更新日期:1979-12-01 00:00:00

  • The use of intraabdominal tissue expanders as a primary strategy for closure of giant omphaloceles.

    abstract:BACKGROUND:Giant omphaloceles present a unique challenge to pediatric surgeons because of the difficulty in obtaining timely, tension-free closure of tissues over the defect. Reports of the use of tissue expanders in the subcutaneous space, intramuscular space, or intraabdominal cavity have illustrated the usefulness o...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Martin AE,Khan A,Kim DS,Muratore CS,Luks FI

    更新日期:2009-01-01 00:00:00

  • Use of the aspartate aminotransferase to platelet ratio index to follow liver fibrosis progression in infants with short gut.

    abstract:BACKGROUND:Infants with parenteral nutrition dependence may develop liver dysfunction and progress to liver failure requiring transplantation. The aspartate aminotransferase-to-platelet ratio index (APRI) has good correlation with liver fibrosis progression in adults. This study applies APRI scoring to parenteral nutri...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Mangus RS,O'Connor MG,Tector AJ,Lim JD,Vianna RM

    更新日期:2010-06-01 00:00:00

  • Two cases of prenatally diagnosed congenital lobar emphysema caused by lobar bronchial atresia.

    abstract::Bronchial atresia is a rare congenital anomaly, and neonatal presentation is extremely rare. Bronchial atresia often affects segmental or subsegmental bronchi, and bronchial atresia of a lobar bronchus is also rare. We report 2 cases of prenatally diagnosed congenital lobar emphysema caused by bronchial atresia at the...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Seo T,Ando H,Kaneko K,Ono Y,Tainaka T,Sumida W,Hayakawa M,Itakura A

    更新日期:2006-11-01 00:00:00

  • Long-term outcome after partial external biliary diversion for progressive familial intrahepatic cholestasis.

    abstract:BACKGROUND:Though patients with progressive familial intrahepatic cholestasis (PFIC) typically require liver transplantation, initial surgical treatment includes partial biliary diversion (PBD) to relieve jaundice-associated pruritus. This study was undertaken to describe long-term PFIC outcome data, which are currentl...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Halaweish I,Chwals WJ

    更新日期:2010-05-01 00:00:00

  • Congenital giant prepucial sac: case reports.

    abstract::The normal attachment of the prepuce is at the coronal sulcus of the penis. In this report, the authors describe an abnormal attachment of the prepucial skin, leading to a giant, deep prepucial sac. This acted as a stagnant sump for urine, and was cured by modified circumcision. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Philip I,Nicholas JL

    更新日期:1999-03-01 00:00:00

  • Medical conferences in the era of environmental conscientiousness and a global health crisis: The carbon footprint of presenter flights to pre-COVID pediatric urology conferences and a consideration of future options.

    abstract:INTRODUCTION:Medical conferences are integral to academic medicine, with academic posters being a well-established medium for presenting research. However, conferences carry an ecological footprint due to greenhouse gas emissions. Furthermore, traditional conference formats have recently not been possible due to the CO...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章,评审


    authors: Milford K,Rickard M,Chua M,Tomczyk K,Gatley-Dewing A,Lorenzo AJ

    更新日期:2020-07-16 00:00:00

  • Pseudoaneurysm after penetrating trauma in children and adolescents.

    abstract:BACKGROUND:Although skin lacerations are common in children and adolescents, the complication of pseudoaneurysm (PA) has rarely been reported. METHODS:The author reports a series of four cases of patients in whom PA developed after lacerations. The diagnosis was made on the basis of the history and clinical findings i...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Zitsman JL

    更新日期:1998-10-01 00:00:00

  • Clinical outcomes after tracheoplasty in patients with congenital tracheal stenosis in 1997-2014.

    abstract:BACKGROUND:Mortality and morbidity of congenital tracheal stenosis (CTS) remain high. The aim of this study was to determine the factors predicting 12-month survival and 2-month successful extubation after tracheoplasty in patients with CTS. METHODS:Retrospective chart reviews were conducted in patients with CTS under...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Yokoi A,Hasegawa T,Oshima Y,Higashide S,Nakatani E,Kaneda H,Kawamoto A,Nishijima E

    更新日期:2018-11-01 00:00:00

  • Risk-stratification of severity for infants with CDH: Prenatal versus postnatal predictors of outcome.

    abstract:PURPOSE:The purpose of this study was to compare the predication accuracy of a newly described postnatally-based clinical prediction model to fetal imaging-based predictors of mortality for infants with CDH. METHODS:We performed a retrospective review of all CDH patients treated at a comprehensive fetal care center fr...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Akinkuotu AC,Cruz SM,Abbas PI,Lee TC,Welty SE,Olutoye OO,Cassady CI,Mehollin-Ray AR,Ruano R,Belfort MA,Cass DL

    更新日期:2016-01-01 00:00:00

  • Outcomes after peritoneal dialysis catheter placement.

    abstract:BACKGROUND:The purpose of this study was to review surgical outcomes after elective placement of peritoneal dialysis (PD) catheters in children with end-stage renal disease. METHODS:Children with PD catheters placed between February 2002 and July 2014 were retrospectively reviewed. Outcomes were catheter life, late (>...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Carpenter JL,Fallon SC,Swartz SJ,Minifee PK,Cass DL,Nuchtern JG,Pimpalwar AP,Brandt ML

    更新日期:2016-05-01 00:00:00

  • Experience with alternate sources of venous inflow in the meso-Rex bypass operation: the coronary and splenic veins.

    abstract::The meso-Rex bypass procedure has been used to treat patients with portal hypertension from extrahepatic portal vein obstruction. This report describes modifications of this procedure in 5 patients. Either the splenic or coronary vein was used as the venous inflow point, and the bypass was performed either directly th...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Chiu B,Pillai SB,Sandler AD,Superina RA

    更新日期:2007-07-01 00:00:00

  • Pancreatic hydatid cyst masquerading as a choledochal cyst.

    abstract::A 6-year-old boy presented with repeated attacks of fever, abdominal pain, and obstructive jaundice. Clinical examination and preoperative imaging suggested the diagnosis of a type I choledochal cyst. During surgery, a hydatid cyst was found occupying the head of pancreas, causing obstruction of the common bile duct. ...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Mandelia A,Wahal A,Solanki S,Srinivas M,Bhatnagar V

    更新日期:2012-11-01 00:00:00

  • Inflammatory changes secondary to postoperative complications of Hirschsprung's disease as a cause of histopathologic changes typical of intestinal neuronal dysplasia.

    abstract:PURPOSE:The aim of this study was to clarify the pathogenesis of intestinal neuronal dysplasia (IND). METHODS:The bowel habits of 36 postoperative HD patients were assessed retrospectively. Twenty-five had no complaints. Seven had persistent enterocolitis and were the focus of our study. They were divided into group A...

    journal_title:Journal of pediatric surgery

    pub_type: 杂志文章


    authors: Kobayashi H,Yamataka A,Lane GJ,Miyano T

    更新日期:2004-02-01 00:00:00