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Laparoscopic duodenoduodenostomy in the neonate
Authors:Saundra Kay  Suzanne Yoder  Steve Rothenberg
Affiliation:Rocky Mountain Hospital for Children at Presbyterian-St Luke's, Denver, CO 80209, USA
Abstract:

Background

Minimally invasive procedures are performed in neonates for an ever-expanding list of congenital anomalies. The laparoscopic repair of duodenal atresia and stenosis in the neonate is one such indication.

Method

We report our experience with the laparoscopic duodenoduodenostomy for duodenal atresia and stenosis in the neonate over the past 4 years. A retrospective chart review was conducted on all cases of duodenal atresia and stenosis diagnosed at our center between January 2004 and January 2008.

Results

Seventeen neonates underwent laparoscopic duodenoduodenostomy successfully during the period. Patient weight at surgery ranged from 1.35 to 3.75 kg. Most were operated on within the first week of life. Many had associated anomalies. There were no conversions to an open procedure, no intraoperative complications, and no anastomotic leaks observed. Time to full feeds averaged 12 days.

Conclusions

Laparoscopic duodenoduodenostomy in the neonate can be safely and successfully performed with excellent short-term outcome.
Keywords:Duodenal obstruction   Duodenal atresia   Laparoscopic duodenoduodenostomy
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