Non-randomised comparisons of open and minimal access (MA) surgery
Procedure | Operation time | Complication rate | Time to discharge | Postoperative pain | Outcome | Recommendations for children | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | Favour MA | Favour open | No difference | ||
Heller’s operation | 46 | 47 | 46 | 46 | 46 | 46, 47 | Laparoscopy preferable | |||||||||
Splenectomy | 14, 15, 48, 49 | 14, 48– 50 | 15 | 14, 15, 48– 50 | 15, 50 | Laparoscopy preferable | ||||||||||
Pyloromyotomy (8randomised) | 8 | 9 | 10, 51– 53 | 9 | 8, 10, 51– 54 | 8 | 10, 52, 53 | 8, 10, 51– 53, 55 | Laparoscopy acceptable, but no proven advantage | |||||||
Total colectomy ± pouch | 56– 58 | 56, 58 | 56– 58 | 59 | Laparoscopy acceptable, but no proven advantage | |||||||||||
Hirschsprung’s pull through | 18 | 18 | 18 | 18 | Laparoscopy preferable | |||||||||||
Nephrectomy | 60, 61 | 62 | 60– 62 | 61 | Laparoscopy acceptable, but no proven advantage | |||||||||||
Pyeloplasty | 63 | 63 | 63 | 63, 64 | Laparoscopy acceptable, but no proven advantage |