查看文章

Malrotation is currently treated via the Ladd's procedure. Many surgeons feel this operation should be performed using the open approach to facilitate adhesion development, thus decreasing the risk for volvulus. However, little comparative data exist on the relative merits of laparoscopy for this operation. Therefore, we have analyzed our experience with the open and laparoscopic Ladd's procedure.

A retrospective analysis of our most recent 13-y experience with the Ladd's procedure was performed. Demographics, approach, diagnosis, hospital course, and outcomes were measured. Data are expressed as mean ± standard deviation. Comparative analysis was performed using a t-test.

A total of 284 Ladd's procedures were performed during this time, of which 43 were approached laparoscopically. Conversion rate was 33%, usually due to concern for volvulus/orientation …