Review article

https://doi.org/10.26800/LV-142-7-8-36

Laparoscopic duodenoduodenostomy in a neonate with annular pancreas

Miram Pasini ; Zavod za dječju kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Andrea Šimić ; Odjel za opću i dječju kirurgiju, Služba za kirurgiju, OB Zadar
Goran Augustin ; Zavod za gastrointestinalnu kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Dorotea Ninković ; Zavod za neonatologiju i neonatalnu intenzivnu medicinu, Klinika za pedijatriju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Ruža Grizelj ; Zavod za neonatologiju i neonatalnu intenzivnu medicinu, Klinika za pedijatriju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Dino Papeš ; Zavod za dječju kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Ivana Sabolić ; Zavod za dječju kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Stanko Ćavar ; Zavod za dječju kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Anko Antabak ; Zavod za dječju kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb
Tomislav Luetić ; Zavod za dječju kirurgiju, Klinika za kirurgiju, Medicinski fakultet Sveučilišta u Zagrebu, KBC Zagreb

Abstract

Congenital duodenal obstruction is one of the most common variants of intestinal atresia which is traditionally managed by laparotomy. In the last two decades there have been more reports of laparoscopic duodenoduodenostomy in neonates. Advantages of minimally invasive surgery are reduced time to initiation and completion of full enteral feeding, and shorter length of postoperative hospitalization. Here, we report a case of a successful laparoscopic duodenoduodenostomy and review the relevant literature. The child was born full term,
on the third day of life she had clinical and radiological signs of duodenal obstruction. During the operation we found annular pancreas as a cause of duodenal obstruction. The postoperative period was uneventful, on the eighth day she was on full enteral feeding and was discharged home on the ninth postoperative day. This is the first neonatal laparoscopic duodedenoduodenostomy in Croatia.

Keywords

DUODENAL OBSTRUCTION – congenital, etiology, surgery; DUODENUM – surgery; DUODENOSTOMY – methods; LAPAROSCOPY – methods; PANCREAS – abnormalities; REATMENT OUTCOME; INFANT, NEWBORN

Hrčak ID:

243279

URI

https://hrcak.srce.hr/243279

Publication date:

24.8.2020.

Article data in other languages: croatian

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