Abstract
Duodenal atresia is a rare pathology and the first cause of neonatal duodenal obstruction. Its treatment is surgical, and it has evolved over the past 20 years, from conventional to minimally invasive approaches, endoscopic and particularly laparoscopic. In 2022, the first 2 reported cases of laparoscopic management of this condition were performed in Uruguay at the Pereira Rossell Hospital Center. This paper presents the cases involving a 12-day-old newborn and a 7-month-old infant. The procedures were uncomplicated, with early enteral full feeding, minimal postoperative pain and excellent aesthetic results. Laparoscopy proved to be a reproducible technique in newborns and infants, without adding morbidity or mortality and providing additional benefits.
References
Ormaechea M, Berazategui R. Membrana duodenal: a propósito de un caso. Anfamed 2017; 4(2):70-7. doi: 10.25184/anfamed2017v4n2a7.
Kanters A, Ponsky T. Reparación laparoscópica de la atresia y estenosis duodenal. En: Martínez Ferro M, ed. Fetoneonatología quirúrgica. Buenos Aires: Ediciones Journal, 2018:553-8.
Ogle S, Nichol P, Ostlie D. Atresia y estenosis del duodeno y del intestino. En: Holcomb III G, Murphy J, St Peter S, eds. Holcomb y Ashcraft Cirugía Pediátrica. 7 ed. Madrid: Elsevier, 2021:489-506.
Weller J, Engwall A, Westermann C, Patel P, Kunisaki S, Rhee D. Laparoscopic Versus Open Surgical Repair of Duodenal Atresia: A NSQIP-Pediatric Analysis. J Surg Res 2022; 279:803-8. doi: 10.1016/j.jss.2022.04.028.
Kay S, Yoder S, Rothenberg S. Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg 2009; 44(5):906-8. doi: 10.1016/j.jpedsurg.2009.01.025.
Bax N, Ure B, van der Zee D, van Tuijl I. Laparoscopic duodenoduodenostomy for duodenal atresia. Surg Endosc 2001; 15(2):217. doi: 10.1007/BF03036283.
Cho M, Kim D, Kim S, Namgoong J. Transition from laparotomy to laparoscopic repair of congenital duodenal obstruction in neonates: our early experience. Front Pediatr 2017; 5:203. doi: 10.3389/fped.2017.00203.
van der Zee D. Laparoscopic repair of duodenal atresia: revisited. World J Surg 2011; 35(8):1781-4. doi: 10.1007/s00268-011-1147-y.
Rothenberg S. Laparoscopic duodenoduodenostomy for duodenal obstruction in infants and children. J Pediatr Surg 2002; 37(7):1088-9. doi: 10.1053/jpsu.2002.33882.
Rothenberg S, Chang J, Bealer J. Experience with minimally invasive surgery in infants. Am J Surg 1998; 176(6):654-8. doi: 10.1016/s0002-9610(98)00278-5.
Cuervo JL. Atresia y estenosis duodenal convencional. En: Martínez M, ed. Fetoneonatología quirúrgica. Buenos Aires: Ediciones Journal, 2018:532-52.

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