Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: a prospective, randomized controlled trial

Leclair, Marc‐David; Plattner, V.; Mirallié, Éric; Lejus, C.; Nguyen, Jean–Michel; Podevin, Guillaume; Héloury, Yves

doi:10.1016/j.jpedsurg.2006.12.016

Cited by 138 publications

(132 citation statements)

References 33 publications

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“…The approach to the pylorus to perform pyloromyotomy is still debated and many authors in recent years have compared the various approaches looking for the best, considering the complications, [17] reported an absence of complications in a large series of LP, other authors have demonstrated that this technique may expose patients to a higher risk of inadequate pyloromyotomy and duodenal perforation because of a longer learning curve [11,13,18]. Leclair et al [19] in a recent double-blinded, randomized, controlled trial compared the laparoscopic and circumbilical approaches, concluding that the open approach is their first choice for pyloromyotomy.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2010

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Section: Discussionmentioning

confidence: 99%

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

et al. 2010

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“…The 'related articles' search facility in PubMed and references contained within relevant reports were also assessed as appropriate. Pyloromyotomy and herniotomy were specifically excluded in view of the substantial number of reports, and even randomized trials in the literature [2][3][4][5].…”

Section: Search Strategymentioning

confidence: 99%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complications and centres performing the procedures. From 479 abstracts, 50 papers were identified describing 1,215 patients. Common operations performed were fundoplication (n = 473), operations for ovarian pathology (n = 151) and oesophageal atresia repair (n = 123). Other not-so-common operations included Kasai procedure (n = 61), Ladd's procedure (n = 55), bowel atresia surgery (n = 45) and congenital diaphragmatic hernia repair (n = 41). Mean operation times varied from 43 min for fundoplication to 209 min for Kasai procedure, with other operation times falling in between the two extremes. Likewise, conversion rates varied from 0.2% for fundoplication to 15% for congenital diaphragmatic hernia, with other conversion rates falling in between. Complications ranged from 0 to 67%. About 70-94% of the cases were performed in six pioneering centres. Fundoplication and operations for ovarian pathology have low complication and conversion rates and appear to be well suited to the average-trained paediatric laparoscopic surgeon. More complex procedures are feasible and safe, but technically demanding and need further expertise.

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“…Recently, there have been numerous case series [5][6][7], randomized controlled trials [8][9][10], and meta-analyses [11][12][13] on laparoscopic versus open pyloromyotomy. Across the board, Cross-technique SIPES pyloromyotomy compares favorably to the published data.…”

Section: Discussionmentioning

confidence: 99%