The Application of Pyloric chisel in the Treatment of Hypertrophic Pyloric Stenosis by Single-Site Umbilical Laparoscopic Pyloromyotomy

Yu, Lin-Jun; Wu, Xiangjie; Mao, Sai-Ke; Li, Sheng-Miao; Luo, Chen

doi:10.1089/lap.2018.0466

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…With the emergence of scarless operations involving the abdominal wall, single-site umbilical LP has also been reported [ 12 , 14 – 16 ]. However, single-site umbilical LP is difficult to perform in newborns and has a high probability of severe complications, such as mucosal perforation and recurrent obstruction [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Compared with laparotomy, LP has a shorter hospital stay, lower morbidity and lower risk of major wound-related complications. However, placing three trocars through a small umbilicus can have the disadvantage of conflicting instruments, so only a few pediatric centers can handle this technique [ 11 , 12 ]. In addition, incomplete pyloromyotomy and mucosal perforation have been reported in patients receiving LP.…”

Section: Introductionmentioning

confidence: 99%

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Transumbilical single-site two incision laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis

Lai

2022

BMC Surg

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Purpose A new novel technique for the treatment of pediatric hypertrophic pyloric stenosis (HPS), transumbilical single-site laparoscopic pyloromyotomy with a single instrument (TUSSLP), was introduced. TUSSLP was compared with the transabdominal three-site laparoscopic pyloromyotomy (TATSLP) procedure. Methods Patients with HPS who underwent TUSSLP and TATSLP between January 2016 and September 2020 were assigned to group A and group B, respectively. The descriptive variables, perioperative clinical characteristics and postoperative follow-up results were retrospectively analyzed and compared between the 2 groups. The primary outcome of this study was the rate of switching to conventional pyloromyotomy. Results Sixty-four patients were enrolled in this study. Of these patients, 29 (22 males, 7 females, 54.4 ± 22.6 days) who received TUSSLP were assigned to group A. The remaining 35 (28 males, 7 females, 54.5 ± 27.6 days) who received TATSLP were assigned to group B. The data of preoperative patient variables were comparable between the 2 groups (P > 0.05). The mean operative time (ORT) was 28.1 ± 5.6 min in group A, which was not significantly different from 25.8 ± 3.1 min in group B (P = 0.25). The other perioperative features were not significantly different between the 2 groups (P > 0.05). During follow-up (39.1 ± 14.7 m in group A and 35.4 ± 16.1 m in group B, P = 0.51), no significant difference was observed in the overall incidence of vomiting between the 2 groups (P = 0.26). Conclusions TUSSLP is a feasible and reliable minimally invasive method for HPS. It has the advantages of an improved cosmetic appearance. The postoperative follow-up results of TUSSLP are comparable with those of TATSLP.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transumbilical single-site two incision laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis

Lai

2022

BMC Surg

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“…If the duodenal end of the pylorus is difficult to separate, a Y-shaped incision on the side of the duodenal end can be used. [ 5 ] Pyloric separation forceps designed with anti-slip stripes on the outside is useful. [ 6 ] For children with an umbilical cord that is too small, the two incisions may be placed at 4 o’clock and 10 o’clock positions on the transumbilical ring to achieve a similar effect.…”

Section: Discussionmentioning

confidence: 99%

“…improved this approach by using a pyloric chisel. [ 5 ] However, placing three trocars through a small umbilicus can have the disadvantage of instruments conflicting, so there was only few paediatric surgery centre coverage of this technique. We attempted single-site laparoscopic pyloromyotomy (SSLP) with only two incisions.…”

Section: Introductionmentioning

confidence: 99%

A novel two-port single-site laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis

Xie

et al. 2021

Journal of Minimal Access Surgery

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Objective: The objective of the study is to explore a less invasive laparoscopic pyloromyotomy for treating infantile hypertrophic pyloric stenosis. Patients and Methods: A series of 154 cases from January 2014 to January 2020 were retrospectively analysed. Seventy patients were treated with the method of transumbilical single-site laparoscopic pyloromyotomy (SSLP), and 84 patients were treated with two-site laparoscopic pyloromyotomy. There was no difference in the body weight, sex ratio or age between the two groups. The operation time, blood loss, post-operative feeding time and complications between the two groups were compared. Results: The novel single-site method had better cosmetic effect than the two-site approach. There was no difference in the operation time, blood loss, post-operative feeding time or complications between the two groups. Conclusion: The novel SSLP method requires only two incisions through the umbilicus to complete the procedure, with barely visible scars and similar surgical complications to that of the two-site approach; thus, the novel method is worth promoting.

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Single-Site Umbilical Laparoscopic Pyloromyotomy Using a Pyloric Electrocoagulation Chisel Combined with a Left-Handed Main Operation for Congenital Hypertrophic Pyloric Stenosis

Shan

et al. 2020

Journal of Laparoendoscopic & Advanced Surgical Techniques

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The Application of Pyloric chisel in the Treatment of Hypertrophic Pyloric Stenosis by Single-Site Umbilical Laparoscopic Pyloromyotomy

Cited by 3 publications

References 9 publications

Transumbilical single-site two incision laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis

Transumbilical single-site two incision laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis

A novel two-port single-site laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis

Single-Site Umbilical Laparoscopic Pyloromyotomy Using a Pyloric Electrocoagulation Chisel Combined with a Left-Handed Main Operation for Congenital Hypertrophic Pyloric Stenosis

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