{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:08:18Z","timestamp":1753877298703,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Laparoscopic procedures, which are already challenging in infants and small children, are made even more challenging in very low birthweight infants due to the limited working space within the abdomen and the decreased tolerance for high insufflation pressures. Here we describe how modifying port placements and instrument positioning allowed for the laparoscopic repair of duodenal atresia in a preterm 1.3\u00a0kg infant. In our modified approach: (i) the umbilical-port was our right-hand working port, (ii) the right lower quadrant port was used for the telescope, (iii) the left central abdomen port was used as an optional assistant port, and (iv) the right upper quadrant port, was modified to be in the right lateral upper abdomen and used as the left hand working port. We believe these modifications could help pediatric surgeons maximize laparoscopic working space and therefore, prevent complications and improve patient outcomes for the procedure.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf323","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T19:19:51Z","timestamp":1748632791000},"source":"Crossref","is-referenced-by-count":0,"title":["Technique modifications: enabling laparoscopic repair of duodenal atresia in a preterm, very low birthweight infant"],"prefix":"10.1093","volume":"2025","author":[{"given":"Patricia","family":"Corujo Avila","sequence":"first","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York , 100 High Street, Buffalo, NY 14203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M","family":"Woodward","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, John R. Oishei Children\u2019s Hospital , 1001 Main Street, Buffalo, NY 14203 ,","place":["United States"]},{"name":"Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences , 100 High Street, Buffalo, NY 14203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph C","family":"L\u2019Huillier","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, John R. Oishei Children\u2019s Hospital , 1001 Main Street, Buffalo, NY 14203 ,","place":["United States"]},{"name":"Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences , 100 High Street, Buffalo, NY 14203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brie","family":"Mucci-Jackson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, John R. Oishei Children\u2019s Hospital , 1001 Main Street, Buffalo, NY 14203 ,","place":["United States"]},{"name":"Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences , 100 High Street, Buffalo, NY 14203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruchi","family":"Amin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, John R. Oishei Children\u2019s Hospital , 1001 Main Street, Buffalo, NY 14203 ,","place":["United States"]},{"name":"Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences , 100 High Street, Buffalo, NY 14203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark L","family":"Wulkan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Arthur M. Blank Hospital, Children\u2019s Healthcare of Atlanta , 2174 North Druid Hills Road NE 1st Floor, Atlanta, GA 30329, United States"},{"name":"Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine , 100 Woodruff Circle, Atlanta, GA 30322 \u00a0","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7240-1239","authenticated-orcid":false,"given":"P","family":"Benson Ham 3rd","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, John R. Oishei Children\u2019s Hospital , 1001 Main Street, Buffalo, NY 14203 ,","place":["United States"]},{"name":"Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences , 100 High Street, Buffalo, NY 14203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"2025053015194903600_ref1","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1136\/archdischild-2019-317085","article-title":"Congenital duodenal obstruction in the UK: a population-based study","volume":"105","author":"Bethell","year":"2020","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"2025053015194903600_ref2","first-page":"217","article-title":"Laparoscopic duodenoduodenostomy for duodenal atresia","volume":"15","author":"Bax","year":"2001","journal-title":"Surg Endosc"},{"key":"2025053015194903600_ref3","doi-asserted-by":"publisher","first-page":"1088","DOI":"10.1053\/jpsu.2002.33882","article-title":"Laparoscopic duodenoduodenostomy for duodenal obstruction in infants and children","volume":"37","author":"Rothenberg","year":"2002","journal-title":"J Pediatr Surg"},{"key":"2025053015194903600_ref4","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/4585360","article-title":"Duodenal atresia: open versus MIS repair\u2014analysis of our experience over the last 12 years","volume":"2017","author":"Chiarenza","year":"2017","journal-title":"Biomed Res Int"},{"key":"2025053015194903600_ref5"},{"key":"2025053015194903600_ref6","doi-asserted-by":"publisher","first-page":"e22349","DOI":"10.7759\/cureus.22349","article-title":"Factors associated with adverse outcomes following duodenal atresia surgery in neonates: a retrospective study","volume":"14","author":"Deguchi","year":"2022","journal-title":"Cureus"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf323\/63408674\/rjaf323.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf323\/63408674\/rjaf323.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T19:19:52Z","timestamp":1748632792000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf323\/8154123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf323","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,29]]},"article-number":"rjaf323"}}