Laparoscopic Repair of Duodenal Atresia in a Low Birth Weight Neonate

Rosales-Velderrain, Armando; Betancourt, Abraham; Alkhoury, Fuad

doi:10.1177/000313481408000910

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…Twelve studies were initially identified [3–12, 15, 16] from 2002 to 2014, of which four were case reports [3, 4, 15, 16] and were excluded. Eight studies were included [5–12], of which five focused on LRDA ( n = 67 patients) [5–9], and three were comparative between LRDA ( n = 57 patients) and conventional open repair ( n = 94 patients) [10–12].…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Repair of Duodenal Atresia: Systematic Review and Meta‐Analysis

Mentessidou

Saxena

2017

World j. surg.

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Section: Resultsmentioning

confidence: 99%

Laparoscopic Repair of Duodenal Atresia: Systematic Review and Meta‐Analysis

Mentessidou

Saxena

2017

World j. surg.

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“…In these patients, the entire small and large bowel are decompressed, allowing for excellent workspace even in low birth babies (according to our surgical experience with neonatal MIS approach) and there is an excellent exposure of the proximal duodenum. The laparoscope helps achieve a magnification of the operatory intra-abdominal field and consequently an accurate anastomosis even in bowel with a diameter of less than 5 mm [ 12 ]. The lack of distal bowel manipulation and probably the most declivous anastomosis seems to result in a shorter ileus and earlier initiation of feeds as described in a recent report by Spilde et al [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

Duodenal Atresia: Open versus MIS Repair—Analysis of Our Experience over the Last 12 Years

Chiarenza

Bucci

Conighi

et al. 2017

BioMed Research International

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Objective. Duodenal atresia (DA) routinely has been corrected by laparotomy and duodenoduodenostomy with excellent long-term results. We revisited the patients with DA treated in the last 12 years (2004–2016) comparing the open and the minimally invasive surgical (MIS) approach. Methods. We divided our cohort of patients into two groups. Group 1 included 10 patients with CDO (2004–09) treated with open procedure: 5, DA; 3, duodenal web; 2, extrinsic obstruction. Three presented with Down's syndrome while 3 presented with concomitant malformations. Group 2 included 8 patients (2009–16): 1, web; 5, DA; 2, extrinsic obstruction. Seven were treated by MIS; 1 was treated by Endoscopy. Three presented with Down's syndrome; 3 presented with concomitant malformations. Results. Average operating time was 120 minutes in Group 1 and 190 minutes in Group 2. In MIS Group the visualization was excellent. We recorded no intraoperative complications, conversions, or anastomotic leakage. Feedings started on 3–7 postoperative days. Follow-up showed no evidence of stricture or obstruction. In Group 1 feedings started within 10–22 days and we have 1 postoperative obstruction. Conclusions. Laparoscopic repair of DA is one of the most challenging procedures among pediatric laparoscopic procedures. These patients had a shorter length of hospitalization and more rapid advancement to full feeding compared to patients undergoing the open approach. Laparoscopic repair of DA could be the preferred technique, safe, and efficacious, in the hands of experienced surgeons.

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“…This decision was made, because in Japan surgical outcome for premature babies weighing less than 2500 g at birth is still undesirable, although this has improved immensely for term babies of normal weight [ 15 ]. In case early surgical intervention is indicated in premature or low birth weight neonates, minimally invasive approaches are recommended for safety [ 16 , 17 ]. Recently, it has become possible to treat neonatal surgical diseases in an effective and safe way with the laparoscopic technique [ 11 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

A Wandering Abdominal Mass in a Neonate: An Enteric Duplication Cyst Mimicking an Ovarian Cyst

Iijima

2017

Case Reports in Pediatrics

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Enteric duplication cysts are rare congenital anomalies that are prenatally diagnosed through antenatal ultrasonography (US). In female patients, however, attention must be paid since these formations might be confused with ovarian cysts. Herein, we present a case of a low birth weight female infant with an enteric duplication cyst. A cystic lesion was detected in the right abdomen of the fetus on antenatal US and magnetic resonance imaging (MRI). Serial US and MRI examinations performed after birth showed a single cyst that wandered from side to side in the abdomen; the initial diagnosis was thought to be an ovarian cyst. During laparotomy, however, it was found to be an enteric duplication cyst with volvulus. To our knowledge, there has been no report of an enteric duplication cyst presenting as a wandering abdominal mass. Our experience indicates that early intervention is necessary for patients who have a wandering abdominal mass to avoid complications and urgent surgery, whether it is an ovarian cyst or an enteric duplication cyst.

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Laparoscopic Repair of Duodenal Atresia in a Low Birth Weight Neonate

Cited by 4 publications

References 2 publications

Laparoscopic Repair of Duodenal Atresia: Systematic Review and Meta‐Analysis

Laparoscopic Repair of Duodenal Atresia: Systematic Review and Meta‐Analysis

Duodenal Atresia: Open versus MIS Repair—Analysis of Our Experience over the Last 12 Years

A Wandering Abdominal Mass in a Neonate: An Enteric Duplication Cyst Mimicking an Ovarian Cyst

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