Laparoscopic Duodenal Atresia Repair with 5mm Endoscopic Stapler

We present a laparoscopic repair of duodenal atresia using a 5 millimeter endoscopic stapler. We have no disclosures. An ex-thirty-six week male is born with suspected duodenal atresia based on prenatal ultrasound. This diagnosis is confirmed on KUB with air only in the stomach and proximal duodenum, with no distal bowel gas pattern. He was subsequently taken to the OR on day of life 3. He is positioned perpendicular to the length of the OR table adjacent to anesthesia with a monitor at the patient's head and the surgeons at the patient's feet. A 5 millimeter port was placed in the umbilicus for a camera, and two stab incisions were placed in the right and left mid quadrants. One transabdominal suture was placed for liver retraction. We then proceeded with cokerization of the duodenum. Once we have mobilized the duodenum, we place enterotomies in the proximal and distal portions of the duodenum. Another transabdominal stitch was placed through the innerotomies to align the two limbs. The camera was placed through a stab incision and the 5 millimeter stapler placed through the port. The stapler was inserted and fired to create the anastomosis. The enterotomy was closed with multiple interrupted sutures. The transabdominal suture was then cut and then tied down. Postoperatively, the baby was kept NPO until post-op day 5. An upper GI confirms no leak with passage of contrast into the distal bowel. The baby's diet was then advanced, and he was discharged home on postoperative day 10.