Laparoscopic surgery for congenital duodenal obstruction in children: an initial experience

Objective: to evaluate the early outcomes of laparoscopic surgery for congenital duodenal obstruction (CDO) in children. Methodology: medical records of all neonates with weight over 1500g which underwent laparoscopic surgery for CDO in National Children’s Hospital were reviewed. Result: This study was conducted on 40 patients, with median age and mean body weight of 1 day and 2.76 ± 1.01 kg, respectively. The ratio of male/female patients was 21/19. The most of reason admission was bilious vomiting (20/40 50%). Plain abdominal x-ray suggested duodenal obstruction in all cases. Laparoscopic surgery was performed successfully in all cases. The operative time and the post-operative hospital stay were 99.38 ± 14.60 min and 6.21 ± 2.29 days, respectively. The most common cause was due to web (type I) (47.5%). There were no intraoperative and post-operative complications noted. The cosmetic result is excellent. Conclusion: Laparoscopic surgery for CDO is feasible and safe.