IPEG

Laparoscopic Duodenal Atresia Repair with 5mm Endoscopic Stapler

July 22, 2020
Presenter:
Kayla B Briggs, MD
kaylabbriggs@gmail.com
Social Media:
@pmchoi, @CDekonenko

Pamela Choi, MD; Kayla B Briggs, MD; Charlene Dekonenko, MD; Jason Fraser, MD; David Juang, MD; Children's Mercy Hospital

This is a case of a newborn male who underwent a laparoscopic duodenal atresia repair on Day of Life 3. A 5mm port was placed in the umbilicus for a camera, and 2 stab incisions were placed in the right/left mid quadrants. One transabdominal suture was placed for liver retraction. After kocherization, the enterotomies were made in the proximal and distal portions of the duodenum. Another transabdominal stitch was placed through the enterotomies to align the 2 limbs. The camera was placed through a stab incision, and the 5mm stapler placed through the port. The stapler was inserted and fired to create the anastomosis. The enterotomy was closed with multiple interrupted sutures. The baby was kept NPO until POD#5- an UGI confirmed no leak with passage of contrast into the distal bowel. The baby’s diet was advanced, and he was discharged home on POD#10 on full feeds.