15 -4 (66) 2024 - Shapov N.F., Ekimovskaya E.V. -LAPAROSCOPIC TREATMENT OF THE CONGINENTAL DUODENAL OBSTRUCTION

LAPAROSCOPIC TREATMENT OF THE CONGINENTAL DUODENAL OBSTRUCTION

Shapov N.F. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Ekimovskaya E.V. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Kulikov D.V. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Mayorov A.D. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Shatova S.M. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Shatova S.M. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Sergeeva S.V. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Melnik T.N. Moscow region Russian Federation (Ilyinskaya Hospital, Moscow Center for Children's Hospital in Lyubertsy, and MEDSI Polyclinic); Moscow (NCHD, St. Vladimir Children's City Clinical Hospital, Scientific Center for Blood and Hemodialysis, V.F. Voino-Yasinetsky Research Center for Medical and Pedagogical Medicine), Republic of Uzbekistan. (TashPMI, RPS)

Resume

Congenital duodenal obstruction (CDO) is a fairly rare developmental defect. The first experience with laparoscopic correction was presented in 2001, but there is still debate about the preferred method of surgical correction. The article presents the experience of introducing laparoscopic technology for applying duodeno-duodenoanastomosis in the neonatal surgery department of the Moscow Regional Center for Maternal and Child Health and the Russian Orthodox Church of the Republic of Uzbekistan. During the period from September 2017 to December 2022, 47 children with duodenal obstruction were treated. Antenatally, the defect was detected in 27 cases; these children were born in a specialized maternity hospital. Postnatal verification of the diagnosis was carried out using plain radiography of the abdominal cavity, but in doubtful cases, contrast fluoroscopy was performed. Open correction of the defect was performed in 14 patients, however, the improvement of the material and technical base and the accumulation of experience in anesthesia for laparoscopic operations made it possible to perform laparoscopic duodeno-duodenoanastomosis according to Kimura, which was the main method of surgical correction, which was performed in 33 patients, regardless of body weight and concomitant pathology. Intraoperative complications were noted in 1 patient with an atypically located Wirsung duct in the form of duct damage. In the postoperative period, anastomotic failure was noted in 2 children, and perforation of the duodenum outside the anastomosis zone was also detected in 2 children. Mortality was 22%, but it was mainly due to severe concomitant pathology. The gradual accumulation of experience and improvement of services involved in the treatment of such patients made it possible not only to develop an algorithm for early activation for these patients, ensuring a reduction in the time spent in the intensive care unit and hospitalization, but also to avoid intra- and postoperative complications while maintaining the flow of patients. .

Keywords: Laparoscopic correction, congenital duodenal obstruction

First page

85

Last page

90

For citation: Shapov N.F., Ekimovskaya E.V., Kulikov D.V., Mayorov A.D., Shatova S.M., Sergeeva S.V., Melnik T.N., Hamroev U.A. - LAPAROSCOPIC TREATMENT OF THE CONGINENTAL DUODENAL OBSTRUCTION//New Day in Medicine 4(66)2024 85-90 https://newdayworldmedicine.com/en/article/3758

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