Thomas C Morris1, Peter G Devitt, Sarah K Thompson. 1. Department of Surgery, Royal Adelaide Hospital, Level 5, Eleanor Harrald Building, Adelaide, South Australia, 5000, Australia.
Abstract
INTRODUCTION: Superior mesenteric artery (SMA) syndrome is a well-described condition involving mechanical compression of the third part of the duodenum by the SMA and the aorta, resulting in proximal obstruction. DISCUSSION: Although there are a handful of case reports describing various techniques of laparoscopic duodenojejunostomy, a technique that involves creating the anastomosis in the infracolic compartment provides a more dependent stoma for the patient. CONCLUSION: This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon.
INTRODUCTION: Superior mesenteric artery (SMA) syndrome is a well-described condition involving mechanical compression of the third part of the duodenum by the SMA and the aorta, resulting in proximal obstruction. DISCUSSION: Although there are a handful of case reports describing various techniques of laparoscopic duodenojejunostomy, a technique that involves creating the anastomosis in the infracolic compartment provides a more dependent stoma for the patient. CONCLUSION: This is a safe, effective, and relatively simple procedure for the experienced minimally invasive surgeon.
Authors: Javier A Cienfuegos; Luis Hurtado-Pardo; Víctor Valentí; Manuel F Landecho; Isabel Vivas; Mateo G Estévez; Alberto Diez-Caballero; José Luis Hernández-Lizoáin; Fernando Rotellar Journal: World J Surg Date: 2020-06 Impact factor: 3.352