Abstract
We report three cases of children who underwent singleincision laparoscopic reduction of intussusceptions using E-Z access (Hakko Medical Co.). Case 1 was a 4-yearold boy with an ileocolic intussusception. Case 2 was an 11-year-old girl with recurrent ileocolic intussusception 10 hours after successful hydrostatic enema reduction. Case 3 was an 8-month-old girl with an ileo-ileocolic intussusception. A semicircular umbilical incision was applied with a Lap ProtectorTM (Hakko Medical Co.). The E-Z accessTM (Hakko Medical Co) inserted with 3 ports was equipped to the top ring of the Lap ProtectorTM. Intussusception could be reduced laparoscopically using two forceps followed by ileal-walking. All cases were free of postoperative complications, and were discharged 7 days after the operation. This single-incision laparoscopic method could therefore reduce intussusceptions without restriction of the wound or port sites. In addition, it is easy to convert laparoscopic surgery to laparoscope-assisted surgery, and vice versa. Note that laparoscopic surgery is also cosmetically superior other methods.
