Laparoscopic duodenoduodenostomy in the neonate.
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.


METHODS
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.
Rocky Mountain Hospital for Children at Presbyterian-St Luke's, Denver, CO 80209, USA. saundramkay@hotmail.com
Saundra
S
Kay
Suzanne
S
Yoder
Steve
S
Rothenberg
D003251:Constriction, Pathologic / Q000601:surgery; D004380:Duodenal Obstruction / Q000151:congenital / Q000601:surgery*; D004385:Duodenostomy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000601:surgery; D007409:Intestinal Atresia / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome