Outcomes for Ladd's Procedure: Does Approach Matter?
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Read the article on jpedsurg.org ↗Article · Sep 2021 · 1 min read
In brief
In brief
Nationwide analysis of 1,343 pediatric patients undergoing elective Ladd's procedure for malrotation shows laparoscopic approach used in 22% of cases, more commonly in large hospitals and older patients. Study compares outcomes between laparoscopic and open techniques using propensity-matched analysis to determine if surgical approach affects results.
Written by the GCMD Library team from the article.
Background
Laparoscopic Ladd's procedure has been proven safe and effective for the treatment of malrotation. However, the nationwide utilization and outcomes of elective Ladd's procedure are largely unknown.
Methods
The Nationwide Readmissions Database from 2010-2014 was used to identify patients 0-18 years (excluding newborns) with malrotation who underwent elective Ladd's procedure. Demographics, hospital factors, and outcomes were compared by approach (laparoscopic vs. open) using standard statistical tests and propensity score (PS) matched analysis. Results were weighted for national estimates.
Results
1343 patients (44% male) underwent elective Ladd's procedure via laparoscopic (22%) or open (78%) approach. Laparoscopic approach was more common in large hospitals (26% vs. 16%), patients >13 years (30% vs. 20%), and those with higher income (29% vs. 16%), all p