Laparoscopic side‐to‐side duodenoduodenostomy versus diamond‐shaped anastomosis for annular pancreas in the neonate.

Background: The aim of this report is to present our experience of the last 5 years with repairs of congenital annular pancreas in neonates to determine the efficacy and outcomes of laparoscopic side‐to‐side duodenoduodenostomy compared to laparoscopic diamond‐shaped anastomosis. Methods: A total of 35 patients with congenital annular pancreas in neonates were operated by laparoscopic procedure at our hospital during January 2015 and September 2020. Twenty patients underwent laparoscopic side‐to‐side duodenoduodenostomy (group A), and 15 patients of the control group underwent laparoscopic diamond‐shaped anastomosis (group B). The clinical data between the two groups were compared. Results: The operative time is 77.5 ± 18.7 min in group A (range 50 ~ 125 min), and 92.5 ± 20.2 min in group B (range 75–155 min) (P = 0.029). Feedings started on postoperative day 4.5 ± 0.9 (range 3–6 days) in group A, whereas 6.5 ± 0.8 (range 4–7 days) in group B (P = 0.013). The cases in group A were discharged uneventfully in a mean of 9.2 ± 2.3 (range 7–15 days) postoperative day, and 11.4 ± 3.7 days (range 8–20 days) in group B (P = 0.041). The cases of group A have been followed up for 33.1 ± 15.4 months (range 3–60 months), group B had been followed up for 32.0 ± 14.0 months (range 6–55 months) (P > 0.05), and all the cases were doing well at the last follow‐up examination. Conclusion: Laparoscopic side‐to‐side duodenoduodenostomy is beneficial to the recovery of intestinal function postoperatively in the neonate with annular pancreas. [ABSTRACT FROM AUTHOR]