病例报告：腹腔镜下胃空肠吻合术治疗十二指肠闭锁合并内脏反位及十二指肠前门静脉：两例报告

Nakagawa Yoichi, Sumida Wataru, Makita Satoshi, Uchida Hiroo, Hinoki Akinari, Shirota Chiyoe, Tainaka Takahisa, Yokota Kazuki, Amano Hizuru, Yasui Akihiro, Takimoto Aitaro, Kato Daiki, Maeda Takuya, Gohda Yousuke

Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Department of Rare/Intractable Cancer Analysis Research, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Front Pediatr. 2023 Jun 27;11:1220393. doi: 10.3389/fped.2023.1220393. eCollection 2023.

Congenital duodenal atresia with situs inversus is occasionally accompanied by a preduodenal portal vein (PDPV), which is incidentally diagnosed during surgery. Duodenoduodenostomy is the most common and effective treatment. However, some patients require other anastomoses. Here, we present two cases of laparoscopic gastrojejunostomy for congenital duodenal atresia with situs inversus and PDPV and describe the reason for selecting gastrojejunostomy. The optimal surgical strategy is patient specific and should be determined based on the patient's general and physical condition.

先天性十二指肠闭锁合并内脏反位偶尔会伴有十二指肠前门静脉（PDPV），这在手术中偶然被诊断出来。十二指肠十二指肠吻合术是最常见且有效的治疗方法。然而，一些患者需要其他吻合术。在此，我们展示两例先天性十二指肠闭锁合并内脏反位及PDPV行腹腔镜胃空肠吻合术的病例，并描述选择胃空肠吻合术的原因。最佳手术策略应因人而异，需根据患者的一般情况和身体状况来确定。