Comparison of a Novel Technique of the Microlaparoscopic Pyloromyotomy to Circumbilical and Weber–Ramstedt Approaches

Turial, Salmai; Enders, J.; Schier, Felix; Santos, Mariana Avelino dos

doi:10.1007/s11605-011-1531-9

Cited by 11 publications

(6 citation statements)

References 24 publications

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“…Eighty-eight studies (14 RCTs and 74 NRSs) dealt with three types of procedures on the stomach and four on the small bowel. The most frequently studied procedure was the pyloromyotomy (8 RCTs 17 18 19 20 21 22 23 24 and 31 NRSs 12 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 ) followed by fundoplication (7 RCTs 55 56 57 58 59 60 61 and 14 NRSs 62 63 64 65 66 67 68 69 70 71 72 73 74 75 ), intussusception resolution (10 NRSs 76 77 78 79 80 81 82 83 84 …”

Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

et al. 2021

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Introduction Despite its wide acceptance, the superiority of laparoscopic versus open pediatric surgery has remained controversial. There is still a call for well-founded evidence. We reviewed the literature on studies published in the last three decades and dealing with advantages and disadvantages of laparoscopy compared to open surgery. Materials and Methods Studies comparing laparoscopic versus open abdominal procedures in children were searched in PubMed/MEDLINE. Reports on upper and lower gastrointestinal as hepatobiliary surgery and on surgery of pancreas and spleen were included. Advantages and disadvantages of laparoscopic surgery were analyzed for different types of procedures. Complications were categorized using the Clavien–Dindo classification. Results A total of 239 studies dealing with 19 types of procedures and outcomes in 929,157 patients were analyzed. We identified 26 randomized controlled trials (10.8%) and 213 comparative studies (89.2%). The most frequently reported advantage of laparoscopy was shorter hospital stay in 60.4% of studies. Longer operative time was the most frequently reported disadvantage of laparoscopy in 52.7% of studies. Clavien–Dindo grade I to III complications (mild–moderate) were less frequently identified in laparoscopic compared to open procedures (80.3% of studies). Grade-IV complications (severe) were less frequently reported after laparoscopic versus open appendectomy for perforated appendicitis and more frequently after laparoscopic Kasai's portoenterostomy. We identified a decreased frequency of reporting on advantages after laparoscopy and increased reporting on disadvantages for all surgery types over the decades. Conclusion Laparoscopic compared with open pediatric surgery seems to be beneficial in most types of procedures. The number of randomized controlled trials (RCTs) remains limited. However, the number of reports on disadvantages increased during the past decades.

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Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

et al. 2021

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“…1,2 The treatment is surgical pyloromyotomy, with a laparoscopic, circumumbilical, or open approach. 3,4 Epidemiologically, the incidence of IHPS varies widely between different regions and countries, with a higher risk in western industrial countries. 5,6 A white male preponderance (4-5:1) and increased risk in patients' families are well documented.…”

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confidence: 99%

Decline in Infantile Hypertrophic Pyloric Stenosis in Germany in 2000–2008

et al. 2012

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“…However, parents might be willing to pay a higher price when it is related to improved cosmetic results. 14 In terms of overall final expenses, a further study that prospectively examines the exact differences between costs using each technique is needed.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Laparoscopic Pyloromyotomy with Microscope and Stab Incision vs. Open Pyloromyotomy in Infantile Hypertrophic Pyloric Stenosis; Single Institution Experience

Kim

Sung

Kang³

et al. 2016

J Minim Invasive Surg

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Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of nonbilious emesis that requires surgical management in newborns. The incidence in Asian population is one-third to one-fifth of that in Caucasians. 1 Since 1991, laparoscopic pyloromyotomy has been undergoing development and has also received recognition as a feasible and safe alternative to open extramucosal longitudinal myotomy. 2 A number of Western studies have shown that the laparoscopic approach yields better cosmetic satisfaction, but there were mixed results in terms of complication rates, operative time, and hospital stay. 3-6 Previous studies in Korea and Japan have shown improved recovery benefits, but were equivocal with regard to

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Comparison of a Novel Technique of the Microlaparoscopic Pyloromyotomy to Circumbilical and Weber–Ramstedt Approaches

Abstract: Despite the small sample size included in the present study, it seems that microlaparoscopic pyloromyotomy is safe and feasible with the lowest rate of complications and the shortest operative time. The Bianchi approach is a good alternative to achieve a small scar without laparoscopy.

Cited by 11 publications

References 24 publications

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

Decline in Infantile Hypertrophic Pyloric Stenosis in Germany in 2000–2008

Outcomes of Laparoscopic Pyloromyotomy with Microscope and Stab Incision vs. Open Pyloromyotomy in Infantile Hypertrophic Pyloric Stenosis; Single Institution Experience

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