Laparoscopic Repair of a Duodenal Atresia and Ladd’s Procedure in a Neonate

Purpose: To demonstrate current refinements of technique in performing a duodenal anastomosis in a neonate with duodenal atresia.

Methods: A 33 week premature infant with a prenatal diagnosis of Duodenal atresia was explored laparoscopically on day two of life for repair. The patients weight was 2 Kg. Two 3mm ports and one 4mm port were used for the procedure. The patient was also found to have malrotation at the time of surgery. The procedure consisted of a Ladd’s procedure and duodenoduodenostomy. Techniques of abdominal wall retraction sutures are demonstrated.

Results: The procedure was completed successfully laparoscopically. The procedure took 60 minutes. An NG tube was used for 5 days and feeds were started on post-op day 6.

Conclusion: This video demonstrates that a laparoscopic duodenoduodenostomy and Ladd’s procedure is efficacious and safe even in a small premature infant.

Session: Podium Video Presentation

Program Number: V019

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