scholarly journals Our Experience on Laparoscopic Pyloromyotomy in Patients with Infantil Hypertrophic Pyloric Stenosis

2018 ◽  
Author(s):  
Meltem Kaba
Keyword(s):  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Laparoscopic Pyloromyotomy

Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: Impact of experience on the results in 182 cases

2004 ◽  
Vol 18 (6) ◽  
pp. 907-909 ◽  
Author(s):  
J. D. W. van der Bilt ◽  
W. L. M. Kramer ◽  
D. C. van der Zee ◽  
N. M. A. Bax
Keyword(s):  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Laparoscopic Pyloromyotomy

Laparoscopic Pyloromyotomy for Infantile Hypertrophic Pyloric Stenosis

2004 ◽  
Vol 8 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Mari Arai ◽  
Tadashi Iwanaka ◽  
Hiroshi Kawashima ◽  
Sumi Kudou ◽  
Jun Fujishiro ◽  
...  
Keyword(s):  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Laparoscopic Pyloromyotomy

scholarly journals The Safety and Effectiveness of Laparoscopic Pyloromyotomy Using 3-mm Electrocautery Hook versus Open Surgery for Treatment of Hypertrophic Pyloric Stenosis in Infants

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 701
Author(s):  
Zenon Pogorelić ◽  
Ana Zelić ◽  
Miro Jukić ◽  
Carlos Martin Llorente Muñoz
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Oral Intake ◽  
Laparoscopic Group ◽  
Open Group ◽  
Open Approach ◽  
Duration Of Surgery ◽  
Laparoscopic Pyloromyotomy

Background: The standard of treatment for infants with hypertrophic pyloric stenosis is still pyloromyotomy. Recently, in most of the pediatric surgery centers laparoscopic pyloromyotomy has become popular. The aim of the present study is to compare the outcomes of treatment in infants with hypertrophic pyloric stenosis between traditional open approach and laparoscopic pyloromyotomy using 3-mm electrocautery hook. Methods: A total of 125 infants, 104 (83.2%) males, with median age 33 (interquartile range, IQR 24, 40) days, who underwent pyloromyotomy because of hypertrophic pyloric stenosis, between 2005 and 2021, were included in the retrospective study. Of that number 61 (48.8%) infants were allocated to the open group and 64 (51.2%) to the laparoscopic group. The groups were compared in regards to time to oral intake, duration of surgery, the type and rate of complications, rate of reoperations, frequency of vomiting after surgery, and the length of hospital stay. Results: No differences were found with regards to baseline characteristics between two investigated groups. Laparoscopic approach was associated with significantly better outcomes compared to open approach: shorter duration of surgery (35 min (IQR 30, 45) vs. 45 min (40, 57.5); p = 0.00008), shorter time to oral intake (6 h (IQR 4, 8) vs. 22 h (13.5, 24); p < 0.00001), lower frequency of postoperative vomiting (n = 10 (15.6%) vs. n = 19 (31.1%)), and shorter length of postoperative hospital stay (3 days (IQR 2, 3) vs. 6 days (4.5, 8); p < 0.00001). In regards to complications and reoperation rates, both were lower in the laparoscopic pyloromyotomy group but the differences were not statistically significant (p = 0.157 and p = 0.113, respectively). The most common complication in both groups was mucosal perforation (open group, n = 3 (4.9%); laparoscopic group, n = 2 (3.1%)) followed by wound infection in open group, n = 3 (4.9%). No cases of wound infection were recorded in the laparoscopic group. Conclusion: Open and laparoscopic pyloromyotomy are equally safe and effective in treatment of hypertrophic pyloric stenosis. Laparoscopic technique is associated with faster recovery, shorter duration of surgery and shorter duration of hospital stay.

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