Abstract Purpose Surgery is essential in the management of congenital duodenal obstruction with the Kimura diamond duodenoduodenostomy held as the current gold standard. The laparoscopic approach has been reported since 2001, however, widespread adoption has not been seen despite potential advantages. We reviewed our cohort to report patient outcomes as well as share learning points for what can be a challenging procedure.Methods We identified all patients undergoing laparoscopic duodenoduodenostomy under a single supervising lead surgeon in the past 10 years. Outcomes included post-operative complications, time to full enteral feeds, operative time, and post-operative length of stay.Results 12 patients were identified. The mean birthweight was 2.67 kg with the smallest baby being 1.6 kg. The median follow-up was 3.9 years (0.2–6.4 years). 3 patients (25%) had a post-operative complication: 2 patients had a chyle leak and 1 patient had a localised wound infection. All complications were seen in the first half of the series and none in the second half. There were no strictures or anastomotic leaks. Eight procedures documented an accurate operative time, with a median time of 165 min (140–195 min). Median time to full enteral feeding was 11 days (4–74 days) and the length of stay was 21 days (8–75 days).Conclusions Major complications of stricture or anastomotic leak were avoided, and there were no conversions to open. These results show the laparoscopic technique to be safe and effective with potentially improved post-operative feeding time and length of stay.
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