Laparoscopic pyloromyotomy: effect of resident training on complications

The effect of surgical training and hospital characteristics on patient outcomes after pediatric surgery: a systematic review

“…Both case-referent studies and retrospective cohort studies were included. The [29] 2008 Pyloromyotomy 500 United States-hospital data Case referent Specialty latter group was generally of better quality. Most studies did not actively collect patient data but used administrative data that had not been specifically collected for research purposes.…”

“…It is not clear whether minimum annual caseloads should exist for specific conditions or whether minimum numbers of [29] OR, 6.7 (1.5-29.6) a van den Ende et al [24] OR operations on children is most important. The latter opinion could explain the results found by authors who showed that pediatric surgeons performing pancreaticoduodenectomies achieved good results despite very low numbers of operations [31].…”

Preliminary experience with a new approach for infantile hypertrophic pyloric stenosis: the single-port, laparoscopic-assisted pyloromyotomy

“…The appearance of a higher complication rate in LP may be justified by the learning curve as much as if the operation is performed by a general surgery resident [21,22]. Perger et al [23] stated that if skill and experience to replicate good outcomes of laparoscopy are not available, open pyloromyotomy is a safer technique.…”

Carbon dioxide embolism in a 3-week-old neonate during laparoscopic pyloromyotomy: a case report

“…Laparoscopic pyloromyotomy can be done as safe as open pyloromyotomy with no extra time and better cosmesis [14].…”