Minimally Invasive Surgical Management for Pediatric Intussusception: A Retrospective Cohort Study

Inclusion Criteria: * Patients diagnosed with idiopathic intussusception, admitted to the National Children's Hospital between January 2016 and December 2020, exhibiting clinical signs and symptoms consistent with intussusception, and confirmed by ultrasound. * Fluoroscopy-guided pneumatic reduction was performed, allowing a maximum of three attempts. * Patients unresponsive to pneumatic reduction underwent laparoscopic reduction (LAP). * If LAP failed to manage the intussusceptum, conversion to transumbilical mini-open reduction (MOR) was initiated. * Patients deemed unsuitable for air enema reduction due to a grossly distended abdomen or compromised cardiopulmonary function, making them unlikely to tolerate pneumoperitoneum, were also directed towards MOR. * Patients with a history of previous intussusception episodes requiring reduction. * Patients displaying clinical instability with signs of peritonitis or intestinal perforation requiring conventional laparotomy. * Patients presenting with pathologic lead points. * Patients who had complications, such as perforation, during pneumatic reduction. Exclusion Criteria: * Patients in critical condition or suspected of bowel perforation and peritonitis * Patients who did not meet the criteria for air enema reduction due to significant abdominal distension or compromised cardiopulmonary function