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Updated: Jul 28, 2025

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
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Duodenal Atresia Repair: A Single-Center Comparative Study.

Nelimar Cruz-Centeno1, Shai Stewart1, Derek R Marlor1

  • 1Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, MO, USA.

The American Surgeon
|May 31, 2023
PubMed
Summary
This summary is machine-generated.

Surgical approach does not impact outcomes for duodenal atresia repair. This study found no significant differences in complication rates between open and laparoscopic methods for this condition.

Keywords:
anastomosisduodenal atresialaparoscopyoutcomessurgical technique

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Minimally Invasive Surgery

Background:

  • Increasing use of laparoscopy for duodenal atresia repair.
  • Lack of consensus on optimal surgical approach for duodenal atresia.
  • Need to compare outcomes of different surgical techniques and anastomoses.

Purpose of the Study:

  • To compare surgical approaches for duodenal atresia repair.
  • To evaluate different types of anastomoses in duodenal atresia repair.
  • To determine the impact of surgical method on complication rates.

Main Methods:

  • Retrospective review of 78 patients undergoing duodenal atresia repair (2006-2022).
  • Exclusion of patients with concomitant gastrointestinal anomalies or simultaneous operations.
  • Primary outcome: complication rate (leak, stricture, re-operation) by surgical approach and anastomosis technique.

Main Results:

  • No significant difference in overall complication rates based on surgical approach.
  • Specific complication rates varied by anastomosis technique, with some laparoscopic methods showing lower stricture rates.
  • Re-operation rate was 7.7%, with leaks and strictures being the main reasons.

Conclusions:

  • The surgical approach (open vs. laparoscopic) does not influence outcomes in duodenal atresia repair.
  • Complication rates are comparable across different surgical methods for duodenal atresia.
  • Further research may explore specific anastomosis techniques for optimal results.