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Purpose <p>Jejunoileal atresia (JIA) is a common cause of intestinal obstruction in neonates, typically diagnosed shortly after birth. This study evaluates the use of Single Port Video-Assisted Surgery (SPVAS) as a minimally invasive approach for treating JIA and compares its outcomes with traditional laparotomy.</p> Methods <p>A retrospective review was conducted on neonates with JIA treated at a tertiary centre between 2018 and 2023. Patients were divided into two groups based on the surgical technique used: SPVAS and laparotomy. Data collected included prenatal diagnosis, patient demographics, surgical details, postoperative complications, and recovery outcomes.</p> Results <p>A total of 17 neonates with JIA were included. SPVAS was used in 12 patients (70.5%), while 5 underwent laparotomy (29.5%). No significant differences were observed in length of hospital stay or feeding duration. However, SPVAS patients had shorter ICU stays (20.3&#xa0;days vs. 62.0&#xa0;days, p = 0.067) and significantly less orotracheal intubation time (8.3&#xa0;h vs. 53.6&#xa0;h, p = 0.039). No complications such as wound infections or mortality were observed in either group.</p> Conclusions <p>SPVAS is a safe and effective alternative to laparotomy for treatment of neonatal intestinal atresia, offering advantages in terms of intubation time, less physiologic stress and cosmetic results. Appropriate patient selection criteria are essential for the successful outcomes.</p>

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Minimally invasive single-port video-assisted surgery for the treatment of neonatal intestinal atresia: tertiary care centre experience

  • 期刊论文

  • 发表日期：

    2025年1月31日

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  • Paulina Vargova,
  • Carolina Corona-Bellostas,
  • Ricardo Escartin-Villacampa,
  • Yurema Gonzalez-Ruiz,
  • Rafael Fernandez-Atuan,
  • Andrea Santinno-Tenorio,
  • Paolo Bragagnini-Rodriguez

摘要

Purpose

Jejunoileal atresia (JIA) is a common cause of intestinal obstruction in neonates, typically diagnosed shortly after birth. This study evaluates the use of Single Port Video-Assisted Surgery (SPVAS) as a minimally invasive approach for treating JIA and compares its outcomes with traditional laparotomy.

Methods

A retrospective review was conducted on neonates with JIA treated at a tertiary centre between 2018 and 2023. Patients were divided into two groups based on the surgical technique used: SPVAS and laparotomy. Data collected included prenatal diagnosis, patient demographics, surgical details, postoperative complications, and recovery outcomes.

Results

A total of 17 neonates with JIA were included. SPVAS was used in 12 patients (70.5%), while 5 underwent laparotomy (29.5%). No significant differences were observed in length of hospital stay or feeding duration. However, SPVAS patients had shorter ICU stays (20.3 days vs. 62.0 days, p = 0.067) and significantly less orotracheal intubation time (8.3 h vs. 53.6 h, p = 0.039). No complications such as wound infections or mortality were observed in either group.

Conclusions

SPVAS is a safe and effective alternative to laparotomy for treatment of neonatal intestinal atresia, offering advantages in terms of intubation time, less physiologic stress and cosmetic results. Appropriate patient selection criteria are essential for the successful outcomes.