title: [Perioperative management for laparoscopic repair of congenital duodenal atresia].
abstract: BACKGROUND
  Laparoscopic surgery has been applied even to neonates. To examine the safety and efficacy of laparoscopic repair of neonatal congenital duodenal atresia, we compared the 5 laparoscopic cases with the 5 conventional surgical cases.
  
  
  METHODS
  The charts were retrospectively reviewed to investigate the anesthetic management, perioperative status and complications in the most recent 5 cases each of laparoscopic and conventional surgeries.
  
  
  RESULTS
  There was a tendency to avoid laparoscopic repair in the patients with congenital heart disease. There were no intraoperative complications in both groups. Laparoscopic group exhibited less blood loss but longer operation time. In the two out of five laparoscopic cases re-operation was required due to technical issues, and the group needed a longer period before starting enteral feeding and longer hospitalization.
  
  
  CONCLUSIONS
  Up to this time, laparoscopic repair of congenital duodenal atresia exhibited few advantages over conventional open repair.
authors.affiliation: Department of Anesthesiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi 594-1101.
authors.forename: Kanako
authors.initials: K
authors.lastname: Watanabe
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Keiko
authors.initials: K
authors.lastname: Kinouchi
authors.forename: Kiyokazu
authors.initials: K
authors.lastname: Kagawa
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Matsuda
authors.forename: Seiji
authors.initials: S
authors.lastname: Kitamura
mesh_terms: D000758:Anesthesia; D016063:Blood Loss, Surgical; D013505:Digestive System Surgical Procedures; D004380:Duodenal Obstruction / Q000151:congenital* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D010535:Laparoscopy; D007902:Length of Stay; D019990:Perioperative Care; D012189:Retrospective Studies