A Single Surgeon Laparoscopic Duodenoduodenostomy Case Series for Congenital Duodenal Obstruction in an Academic Setting

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Lindel C DewberryStig Somme

Abstract

Laparoscopic duodenoduodenostomy can be performed to repair congenital duodenal obstructions from atresia or duodenal web. There are only a few published case series in the literature. We are reporting on a single surgeon's experience with the operation and discuss the technical aspects of the operation. A retrospective chart review was performed using the electronic medical record identifying all patients who underwent laparoscopic duodenoduodenostomy or duodenojejunostomy at two institutions by a singular surgeon. Fifteen patients were identified as having undergone laparoscopic duodenoduodenostomy from 2010 until 2017. The weight at the time of the operation ranged from 1.5 to 8.7 kg (median 2.5 kg). The age ranged from 0 days to 15 months (median 3 days). Operative time (including other procedures) ranged from 2 hours 10 minutes to 3 hours 45 minutes with a median of 2 hours 55 minutes. One case was converted to open due to poor visualization. One patient developed a stricture that required open anastomotic revision 4 weeks after the initial surgery. In 1 patient, an enterotomy in the first portion of the duodenum was created from a retraction stitch-this was immediately recognized and repaired by primary laparoscopic closu...Continue Reading

References

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Jun 19, 2008·Journal of Pediatric Surgery·Troy L SpildeDaniel J Ostlie
May 13, 2009·Journal of Pediatric Surgery·Saundra KaySteve Rothenberg
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Dec 24, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tran Ngoc SonHoang Huu Kien
Jun 22, 2015·Journal of Pediatric Surgery·Benoît ParmentierArnaud Bonnard

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Citations

Jul 30, 2019·The Journal of International Medical Research·Lindel C DewberryKenneth W Liechty
Sep 30, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Nripesh RajbhandariRaphael N Vuille-Dit-Bille
May 16, 2020·Gastroenterology Research and Practice·Bradley WallaceRaphael N Vuille-Dit-Bille
Feb 2, 2022·The Journal of Surgical Research·Fabian LungerRaphael N Vuille-Dit-Bille

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