title: Resection of a duodenal web using single-incision pediatric endosurgery.
abstract: Single-incision pediatric endosurgery (SIPES) is used in many centers for routine cases such as appendectomies and cholecystectomies, but more complex procedures are still infrequently performed. We report the case of a 9-month-old girl with Down syndrome diagnosed with a duodenal web who underwent duodenal web resection and tapering using a SIPES technique. The procedure was performed through a single 2-cm incision in the umbilicus and took 209 minutes. Postoperatively, the patient was feeding well, gaining weight, and had no appreciable scar at a follow up of 6 months. SIPES duodenal web resection in an infant is a reasonable alternative to conventional triangulated laparoscopy that can be performed safely with good functional and cosmetic postoperative results.
authors: Division of Pediatric Surgery, Children's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, AL 35233, USA. oliver.muensterer@att.net
authors: Oliver J
authors: OJ
authors: Muensterer
authors: Erik N
authors: EN
authors: Hansen