The use of laparoscopy for the management of acute
intestinal obstruction is increasing. It has potential advantages over classic
laparotomy. The objective of the current study was to evaluate the feasibility and outcome of laparoscopic management of small
intestinal obstruction. A retrospective review of 30 children admitted for attempt of laparoscopic management of acute
intestinal obstruction was performed. Their mean age was 6.7 +/- 1.73 years. Of the 30 laparoscopic attempts, 20 (66.7%) were performed successfully, whereas 10 patients (33.3%) needed a conversion to
laparotomy because of inadequate laparoscopic visualization in 6 cases, gangrenous bowel in 2 cases, and inability to relieve the obstruction laparoscopically in 2 cases. There were no intra-or postoperative complications in the laparoscopic group. The mean
operative time for the laparoscopic release of
intestinal obstruction was 68 +/- 12.32 minutes and 102 +/- 9.67 minutes for the converted cases. The mean time of return of bowel function and mean
hospital stay in the laparoscopic release of
intestinal obstruction were significantly shorter. The study showed that laparoscopic release of
intestinal obstruction in children is worthy of attempting initially. It is a feasible, effective, and safe alternative to
laparotomy for most patients with acute
intestinal obstruction.