Abstract
Duodenal stenosis is one of the leading causes of duodenal obstruction in the pediatric population, usually diagnosed in newborns and in Down syndrome patients. It has historically been treated with duodeno-duodenostomy, an operation that is now commonly performed laparoscopically. We present a case of a 10-year-old child with a rare chromosomal abnormality who was diagnosed with a duodenal stricture after presenting with failure to thrive and inability to tolerate tube feeds. Duodeno-duodenostomy was performed using the da Vinci® robot, allowing for improved intra-operative range of motion and control during anastomosis creation, with the same cosmetic benefits of laparoscopic surgery, and subsequent improvement in symptoms postoperatively. This case highlights the utility of robotic surgery in complex operations in the pediatric population.
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Andrea R. Marcadis MD, Carmelle V. Romain MD, and Fuad Alkhoury MD declare that they have no conflict of interest.
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Written informed consent was obtained from the patient’s parent/legal guardian for publication of this case report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Marcadis, A.R., Romain, C.V. & Alkhoury, F. Robotic duodeno-duodenostomy creation in a pediatric patient with idiopathic duodenal stricture. J Robotic Surg 13, 695–698 (2019). https://doi.org/10.1007/s11701-018-0891-5
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DOI: https://doi.org/10.1007/s11701-018-0891-5