{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T22:06:21Z","timestamp":1781129181353,"version":"3.54.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To summarize the diagnosis and treatment experience of small intestinal duplication malformations in our hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed data from 90 children undergoing surgery for intestinal duplication malformations at our hospital from October 2019 to October 2024. All patients underwent transumbilical single-site laparoscopic-assisted resection. A 1.5\u2005cm longitudinal umbilical incision was made, followed by layered dissection of the skin and subcutaneous tissue. Two 5\u2005mm trocars were placed at the incision edges to establish CO<jats:sub>2<\/jats:sub> pneumoperitoneum. Bowel graspers were inserted to locate lesions under direct vision. First, the abdominal cavity was examined. The intestinal tube was initially checked for any mass, adhesion, or obvious congestion and edema. This is mostly where the lesion is located. If it is not found, retrograde exploration of the small intestine begins from the ileocecal area. After identifying the mass, it was fixed with absorbable sutures. The trocars and laparoscope were removed, the fascia and peritoneum were incised, and the mass with attached bowel was exteriorized through the umbilical incision. Based on lesion characteristics, enucleation of the duplication cyst or bowel resection with anastomosis was performed. Specimens were sent for pathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All surgeries succeeded (duration: 45\u201395\u2005min). Oral intake resumed within 1\u20134 days, and discharge occurred at 5\u201314 days postoperatively. Enucleation was performed in 74 cases, while bowel resection with anastomosis was required in 16 cases (including 5 terminal ileal resections with anastomosis 1.5\u20132\u2005cm from the ileocecal valve). No complications (incisional infection, anastomotic leakage, stenosis, adhesive bowel obstruction, or incisional hernia) occurred. Pathology confirmed intestinal duplication malformations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intestinal duplication malformations predominantly affect the terminal ileum. Enucleation is optimal, but resection-anastomosis is safe when enucleation is difficult, avoiding enterostomy and reducing patient discomfort. Single-site laparoscopy offers minimal invasiveness and excellent cosmetic outcomes.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1629215","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T05:29:03Z","timestamp":1755494943000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Single-site treatment of cystic intestinal duplication malformations via the umbilicus"],"prefix":"10.3389","volume":"12","author":[{"given":"Tian","family":"Xia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Qin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BingQiang","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"330","DOI":"10.4103\/0189-6725.143146","article-title":"Alimentary tract duplications in children: report of 16 years\u2019 experience","volume":"11","author":"Zouari","year":"2014","journal-title":"Afr J Paediatr Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1097\/00000658-198808000-00009","article-title":"Duplications of the alimentary tract: clinical characteristics, preferred treatment, and 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case report and review of the literature","volume":"42","author":"Jancelewicz","year":"2007","journal-title":"J Pediatr Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1581","DOI":"10.1053\/jpsu.2001.27057","article-title":"Cecal duplication causing a disappearing abdominal mass in an infant","volume":"36","author":"Martins","year":"2001","journal-title":"J Pediatr Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"521","DOI":"10.2214\/ajr.184.2.01840521","article-title":"Sonographic pitfalls in the diagnosis of enteric duplication cysts","volume":"184","author":"Cheng","year":"2005","journal-title":"AJR Am J Roentgenol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1016\/j.neu.2020.01.009","article-title":"Study on the application of ultrasonic image analysis technology combined with the analysis of intestinal nervous system in the streatment of intestinal duplication in children","volume":"138","author":"Gao","year":"2020","journal-title":"World Neurosurg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1007\/s00383-024-05749-2","article-title":"Enucleation for intestinal duplications: a comparative study with intestinal resection and anastomosis","volume":"40","author":"Laplanche","year":"2024","journal-title":"Pediatr Surg Int"},{"key":"B14","doi-asserted-by":"publisher","first-page":"4386","DOI":"10.1007\/s00464-025-11764-8","article-title":"Abnormal anatomical landmarks: the guide points of laparoscopic Ladd\u2019s surgery for neonatal congenital intestinal malrotation","volume":"39","author":"Zeng","year":"2025","journal-title":"Surg Endosc"},{"key":"B15","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1002\/jpn3.12178","article-title":"Persistent and newly developed gastrointestinal symptoms after surgery for intestinal malrotation in children: dysmotility or disorders of gut and brain interaction?","volume":"78","author":"Patel","year":"2024","journal-title":"J Pediatr Gastroenterol Nutr"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1629215\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T05:29:03Z","timestamp":1755494943000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1629215\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,18]]},"references-count":15,"alternative-id":["10.3389\/fsurg.2025.1629215"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1629215","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,18]]},"article-number":"1629215"}}