**5. Conclusion**

Laparoscopy, as a less aggressive surgical technique, offers an alternative approach to the treatment of congenital duodenal obstruction, allowing for minimally invasive access and early recovery after the surgery. Since the first report of a successful laparoscopic anastomosis in a patient with duodenal atresia, laparoscopic reconstruction was expected to become a golden standard of congenital duodenal obstruction treatment. However, its complexity and time consumption prevented this technique from being widely used among pediatric surgical centers compared to an open repair. Laparoscopic reconstruction remains the prerogative only for advanced pediatric surgery centers specializing in minimally invasive surgery in neonates. Transoral techniques based on flexible endoscopy have a special place in minimally invasive treatment of partial duodenal obstruction and allow for expansion of the narrow site using a balloon or a sphincterotome with no incision required.
