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We performed extramucosal pyloromyotomies by laparoscopy in 20 infants presenting with congenital hypertrophic pyloric stenosis. The surgical technique and precautionary measures, the outcome, and the advantages of this original approach are discussed. In the near future, laparoscopic pyloromyotomy is likely to become a widely used technique.

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Since 1990, we have performed extramucosal pyloromyotomies by laparoscopy in 70 infants presenting with congenital hypertrophic pyloric stenosis. Ever since the first cases, the technique and the instruments have been adapted. The surgical technique and the precautionary measures are here explained again. This technique is beneficial for infants with a better postoperative course and avoidance of any skin scar.

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