Laparoscopic versus open surgery for the repair of congenital duodenal obstructions in infants and children

Surgical Endoscopy
Stefan GfroererUdo Rolle

Abstract

Laparoscopic repair of congenital duodenal obstruction (LCDO) was described more than 15 years ago. However, studies comparing outcomes of LCDO with open repair (OCDO) are rare. Standardized assessments of complications using the Clavien-Dindo classification (CDC) and the comprehensive complication index (CCI) are not available. All patients undergoing OCDO or LCDO between 2004 and 2017 were identified from the institutional database by retrospective analysis. Postoperative outcomes were assessed, including all complications using the CDC and the CCI. Forty-seven consecutive patients were identified; 27 patients underwent LCDO and 20 patients had OCDO. Both groups did not differ regarding demographics, associated congenital anomalies, intraoperative pathologic findings, and operative procedures. LCDO was associated with a longer operative time [mean (SD), 202 (89) vs. 112 (41) min, P < 0.0001], shorter time to initiation of feeds [median (range), 1 (0-4) vs. 3 (1-12) days, P = 0.0027], and shorter time to full feeds [mean (SD), 8.2 (4.1) vs. 12.2 (6.4) days, P = 0.0243] compared to OCDO. Shorter length of postoperative hospital stay in LCDO group was achieved for patients without cardiac anomalies [mean (SD), 9.4 (3.1) days in ...Continue Reading

References

Oct 1, 1977·Archives of Surgery·K KimuraS Asada
Oct 1, 1995·Surgical Endoscopy·D C van der Zee, N M Bax
May 30, 2002·Annals of Surgery·Robert C G MartinDavid P Jaques
Jun 22, 2002·Journal of Pediatric Surgery·Steven S Rothenberg
Jun 9, 2004·Journal of Pediatric Surgery·Mauricio A EscobarDeborah F Billmire
Dec 24, 2005·Annals of Surgery·Omer AzizAra Darzi
Jun 19, 2008·Journal of Pediatric Surgery·Troy L SpildeDaniel J Ostlie
May 13, 2009·Journal of Pediatric Surgery·Saundra KaySteve Rothenberg
Dec 2, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sarah HillMark L Wulkan
Sep 20, 2012·Pediatric Surgery International·Christine Burgmeier, Felix Schier
Jun 4, 2013·Annals of Surgery·Ksenija SlankamenacPierre-Alain Clavien
Aug 24, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Bing LiWen-Yan Zhou
Oct 2, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Aaron R JensenNam X Nguyen
Sep 12, 2014·Journal of Nutrition and Metabolism·Sigrid BairdainBradley C Linden
Jun 22, 2015·Journal of Pediatric Surgery·Benoît ParmentierArnaud Bonnard
Sep 23, 2016·Surgical Endoscopy·Chaeyoun OhJeong-Meen Seo

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Citations

Jul 28, 2020·Pediatric Surgery International·Boyang YangHongying Wang
Dec 22, 2021·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Rim KiblawiNagoud Schukfeh

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