Laparoscopic Treatment of Duodenal Obstruction: Report on First Experiences in Latin America

Abstract

We conclude that a laparoscopic approach for duodenal obstruction can be performed safely and effectively and achieves a short hospital stay. Laparoscopic lysis of Ladd's bands is easy to perform, but duodenoduodenostomy requires advanced laparoscopic skills.

Laparoscopic Repair of Duodenal Atresia: Systematic Review and Meta‐Analysis

“…Twelve studies were initially identified [3–12, 15, 16] from 2002 to 2014, of which four were case reports [3, 4, 15, 16] and were excluded. Eight studies were included [5–12], of which five focused on LRDA ( n = 67 patients) [5–9], and three were comparative between LRDA ( n = 57 patients) and conventional open repair ( n = 94 patients) [10–12]. All studies were retrospective.…”

“…However, these could be possibly outweighed by the technically challenging and time‐demanding nature of the LRDA, as well as by potential serious complications of laparoscopy such as paradoxical air embolism, cardiac arrest and cerebral stroke. Another important argument raised in favor of the LRDA is the less inhibition of bowel function it involves, and, thus, the less time to establish feeds and finally discharge [9]. This benefit, however, was not statistically confirmed in two of the three comparative studies between LRDA and open repair [10, 11].…”

“…Since then, LRDA has gradually become more popular. However, only a few retrospective studies have been published during the last 15 years, and these show a wide range in their reported rates of conversion to open surgery between 0 and 35%, as well as in their complications rates from 0 to 33.3% [6][7][8][9][10][11][12]. Direct comparison between the laparoscopic and conventional open repair of duodenal atresia was performed in only three of these studies [10][11][12], from which it is still not clear whether LRDA should be preferred or the two techniques are just comparable.…”

Laparoscopic Versus Open Treatment of Congenital Duodenal Obstruction: Multicenter Short-Term Outcomes Analysis

“…1,2 Case series of laparoscopic duodenoduodenostomy have demonstrated that the procedure is safe and efficacious. [3][4][5][6] Single-center descriptions of shortterm outcomes for both open and laparoscopic approaches have only recently been reported. 3,4,7,8 In these single-center series, conversion rates are highly variable (0%-26%), and reported complications are rare.…”