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Neonatal Intestinal Anastomosis Using a 5 mm Laparoscopic Stapler
Casey T Walk1, David Meagher1,2, Jeffrey Christian1,2
11 Department of Surgery, Wright State University, Miami Valley Hospital Weber Center for Health Education, Dayton, Ohio.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|February 16, 2019
Summary
This study introduces the 5mm laparoscopic stapler for open neonatal intestinal anastomosis. The device demonstrated a safe and efficient method for constructing anastomoses in neonates, offering a promising alternative.
Area of Science:
- Pediatric Surgery
- Surgical Innovation
- Neonatal Care
Background:
- A novel 5mm laparoscopic stapler is now available for pediatric surgical applications.
- Its use in open neonatal intestinal anastomosis has not yet been reported.
Purpose of the Study:
- To report the initial human experience using a 5mm laparoscopic stapler for open neonatal intestinal anastomosis.
- To evaluate the safety and efficacy of this device in neonatal bowel reconstruction.
Main Methods:
- The JustRight (Justright Surgical) 5mm laparoscopic stapler was used in 5 neonates, performing six enteroenterostomies.
- Anastomoses were constructed in a side-to-side, functional end-to-end manner using 2.5cm staple loads.
- Indications included gastroschisis with ileal atresia, multiple intestinal atresia, ileal atresia, and jejunal atresia.
Main Results:
- All six stapled anastomoses were successfully created with minimal staple line overlap.
- Enteral feedings were initiated on postoperative day 8 (mean), with nutritional goals met by day 15.2 (mean).
- No postoperative complications such as anastomotic leak or stenosis were observed.
Conclusions:
- The 5mm laparoscopic stapler is a viable alternative for open neonatal intestinal anastomosis, offering improved ease and speed.
- Further investigation is warranted to support its broader application in neonatal intestinal reconstruction.
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