A retrospective cohort study of pediatric patients undergoing staged laparotomy with interstage extubation

There is substantial evidence that prolonged mechanical ventilation after surgery leads to longer intensive care unit (ICU) and hospital length of stay (LOS). 1 However, there is a paucity of data regard ing interstage extubation in pediatric patients undergoing staged procedures. Congenital portosystemic (CPSS) are a condition in which venous splanchnic the and drains directly into the systemic circulation. At our institution, a two- stage procedure is performed for cases which are not amenable to embolization in the interventional radiology suite. The venous malformation is par tially occluded, and the patient is then transferred to the ICU with a temporary abdominal closure. Over approximately 5 days, the por tal system is given to expand to accommodate the extra blood If the portal pressure is deemed to be acceptable on venogram, the patient returns to the operating for permanent 2