ArticleBMC surgery2022
Laparoscopic vs open Ladd's procedure for malrotation in neonates and infants: a propensity score matching analysis.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Appendectomy as part of Ladd's procedure: a systematic review and survey analysis.Pediatric surgery international · 2023Pooled it
- Article
- Prophylactic appendectomy during Ladd's procedure: a multicenter survey of institutional approaches and their rationales in Japan.Pediatric surgery international · 2026Article
- Comparing robot-assisted versus laparoscopic Ladd's procedure in children with congenital intestinal malrotation.Updates in surgery · 2026Article
- Neonatal Lesser Omental Hernia Associated with Intestinal Malrotation and Congenital Duodenal Stenosis.Surgical case reports · 2026Article
- Neonate With Malrotation Without Volvulus.Journal of medical cases · 2025Article
- Single-Incision paediatric laparoscopy-Assisted for the treatment of postnecrotizing enterocolitis colonic strictures: a single-centre retrospective study.BMC pediatrics · 2025Article
- A case of isolated malrotation without midgut volvulus diagnosed prenatally and treated by laparoscopic surgery.Surgical case reports · 2024Article
- Article
- Evidence-based advances in minimally invasive surgery in infants with congenital gastrointestinal anomalies: a narrative review.Translational pediatrics · 2024Review
- Laparoscopic Ladd's procedure for intestinal malrotation in small infants with midterm follow-up.BMC gastroenterology · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic Ladd's procedure for malrotation in children is still a controversial approach. Although some retrospective studies have compared the outcomes of the two types of procedure with inconsistency outcomes. Currently, there are few large-scale studies on laparoscopic treatment in malrotation with neonates and infants. We did a study based on propensity score matching to compare the effects of the two kinds of approach in neonates and infants. To investigate the therapeutic effect of laparoscopy and open Ladd's procedure by the propensity score-matching (PSM) to enhance the validity of the comparison.
methodsA total series of 143 cases of intestinal malrotation without intestinal necrosis was included in the study during the 8 years from January 2012 to January 2020, including 68 cases of open Ladd's procedure and 75 cases of laparoscopic Ladd's procedure including five cases of transfer laparotomy. By a propensity score 1:1 matching, 62 patients were stratified for each group. RESULTS AND
conclusionThere was no significant difference in volvulus degree, weight and gender between the two groups (p > 0.05). Laparoscopic surgery took more time than open surgery (105.9 min vs 70.6 min, p < 0.05), but it had less hospital stay (12.4 days vs 14.6 days, p < 0.05) or less incision infection (0 vs 6, p < 0.05). There was no significant difference between the two groups at the time of first defecation, blood loss, time of full feeding and reoperation (p > 0.05). The cosmetic effect of laparoscopic surgery is better than that of open surgery. Laparoscopic Ladd's procedure is a safe approach. It can reduce the length of hospital stay and incision infection, but the operation time was extended, the other complications are similar compared with open procedure for intestinal malrotation in neonates and infants.
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