title: A case report of laparoscopic duodenal atresia repair in a neonate using a novel miniature stapling device.
abstract: BACKGROUND
  Laparoscopic duodenal atresia repair is an advanced procedure performed in select pediatric surgical centers. Recently, sub-6mm endosurgical staplers have been introduced, facilitating and accelerating the creation of intracorporeal intestinal anastomoses.
  
  
  METHODS
  We performed a laparoscopic duodenojejunostomy in a one-day-old child with duodenal atresia due to annular pancreas using a novel 5.8mm articulating endostapler with excellent outcome. The technical details are reported.
  
  
  CONCLUSIONS
  Laparoscopic duodenojejunostomy is a technically demanding procedure due to difficulty in hand-sewn anastomosis in a small and restricted space. With this novel 5.8mm articulating endostapler, we were able to perform a quicker and easier anastomosis.
  
  
  CONCLUSIONS
  We report a case of laparoscopic duodenal atresia repair in a neonate using a novel miniature stapling device. This new technique is a safe, quick and easier way to perform laparoscopic duodenal atresia repair.
authors.affiliation: Department of Pediatric Surgery, University Medicine Mainz, Mainz, Germany; Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: Yoon Jung
authors.initials: YJ
authors.lastname: Boo
authors.affiliation: Department of Pediatric Surgery, University Medicine Mainz, Mainz, Germany.
authors.forename: Jan
authors.initials: J
authors.lastname: Gödeke
authors.affiliation: Department of Pediatric Surgery, University Medicine Mainz, Mainz, Germany.
authors.forename: Veronika
authors.initials: V
authors.lastname: Engel
authors.affiliation: Department of Pediatric Surgery, University Medicine Mainz, Mainz, Germany. Electronic address: oliver.muensterer@unimedizin-mainz.de.
authors.forename: Oliver J
authors.initials: OJ
authors.lastname: Muensterer
keywords: Anastomosis; Annular pancreas; Duodenal atresia; Laparoscopic surgery; Surgical stapler