Minimal invasive duodenal atresia repair – does surgical technique of anastomosis matter? A systematic review and meta-analysis.

jpedsurg.org

Minimally invasive repair of duodenal atresia has gained widespread popularity since its introduction in 2001. While the diamond-shaped (DS) anastomosis is considered the gold standard in open surgery and superior to the side-to-side (SS) anastomosis, the SS anastomosis has regained popularity in minimally invasive repairs of duodenal atresia. To date, no comprehensive review has assessed the impact of anastomotic technique on outcomes in minimally invasive duodenal atresia repair. This systematic review evaluates the impact of DS versus SS anastomosis on complications and outcomes in laparoscopic duodenal atresia repair.

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Article · Jul 2025 · 1 min read

In brief

This systematic review compares diamond-shaped versus side-to-side anastomotic techniques in laparoscopic duodenal atresia repair. While diamond-shaped anastomosis is the open surgery gold standard, side-to-side has gained traction in minimally invasive approaches, prompting evaluation of outcomes and complications between these techniques.

Minimally invasive duodenal atresia repair has been widely adopted since 2001, offering an alternative to traditional open surgery.
Diamond-shaped anastomosis remains the gold standard in open repair, but side-to-side anastomosis is increasingly used laparoscopically.
No prior comprehensive review has compared anastomotic techniques specifically for minimally invasive duodenal atresia repair.
This meta-analysis directly compares diamond-shaped versus side-to-side anastomosis outcomes in laparoscopic duodenal atresia cases.
Understanding which anastomotic technique yields better outcomes can guide surgical decision-making in neonatal duodenal obstruction.

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