2007, Number 3
Rev Mex Cir Pediatr 2007; 14 (3)
Licona-Islas CM, Cornejo-Manzano A, Pérez-Lorenzana H, Zaldivar-Cervera JA, Mora-Fol JR
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ABSTRACTIntroduction: Bowel continuity defects are a frequent cause of congenital bowel obstruction. Duodenal atresia occurs in approximately 1 per 5,000 live births. Currently, surgical treatment is to perform duodenoduodenostomía has been reported in recent years the laparoscopic approach with good results.
Material and Methods: Eight patients in the period March 2005 to March 2006 duodenoduodenostomía operated laparoscopically, six women and two men, mean age 20 months, three of them in the neonatal period, two had type I atresia , three with annular pancreas and two with an incomplete duodenal diaphragm.
Results: There were no intraoperative complications, the mean surgical time was 240 minutes, with an average time of fasting six days. There were two complications potstquirúrgicas a patient with anastomotic stricture that required reoperation for postoperative two months and one patient who died of sepsis.
Discussion: Laparoscopic duodenoduodenostomía seems to be a good alternative treatment for congenital duodenal obstruction.