Comparative evaluation of endosurgical and open intervention in newborns with duodenal obstruction

BACKGROUND: Duodenal atresia is one of the most common malformations intestine in newborns. Both open surgical interventions and laparoscopic method eliminate duodenal obstruction.
 AIM: This study conducts a comparative analysis results treating newborns by these methods.
 MATERIALS AND METHODS: paper summarizes experience 185 operated clinic for obstruction. Two groups patients are presented: first included 110 children on laparoscopically, second 75 method. comparable regarding newborn anthropometric data, age at time surgery, presence concomitant anomalies. The considered indicators characterizing intervention course postoperative period.
 RESULTS: In series studies, there were no differences between interpreting cause obstruction (p = 0.184) an incomplete turn 0.134). Operating laparoscopy group was higher than laparotomy (75 min 70 min, p 0.001). However, reduced duration mechanical ventilation, earlier initiation feeding, transition to complete enteral nutrition length hospital stay suggest benefits over congenital frequency complications not high both 0.634). showed that does complicate intraoperative interpretation organ relationships, provides more favorable during period, increase number complications.
 CONCLUSION: improves medical efficiency with surgery.