The learning curve for laparoscopic pyloromyotomy

Complications of Laparoscopic Adrenalectomy in 75 Patients Treated by the Same Surgeon

“…This complication rate is also similar to that already reported for laparoscopic adrenalectomy [6, 7, 8, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22]and for other laparoscopic surgeries with complex procedures such as laparoscopic radical nephrectomy (34%) [23]and laparoscopic pyloromyotomy (21.2%) [25]. Although the complication rate was higher than that of gynecological laparoscopy (1–4%) [23]or laparoscopic cholecystectomy (9.6%) [27], the rate was lower in the latest 35 patients undergoing laparoscopic or retroperitoneoscopic adrenalectomy (17.1%).…”

“…In this series, 5 of 75 patients (6.7%) were converted to open surgery including 1 emergency and 4 elective conversions. The conversion rate is similar to that of other reported series, such as about 5% (0–17%) for laparoscopic adrenalectomy [6, 7, 8, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22], 3% for laparoscopic simple nephrectomy [23], 16% for laparoscopic radical nephrectomy [23], 7% for laparoscopic colectomy [24], 12.2% (3% emergency and 9.1% at subsequent surgery) for laparoscopic pyloromyotomy [25], and 4% for laparoscopic hysterectomy [26]. …”

Retrospective comparison of open versus laparoscopic pyloromyotomy

“…In 51 instances (61 per cent) the diagnosis was confirmed by ultrasonography; in these infants the median length of the pyloric 'tumour' was 20 (range 12-30) mm, muscle thickness 4·7 (range 2·0-8·7) mm and cross-sectional diameter 14 (range [8][9][10][11][12][13][14][15][16][17] mm.…”

“…Several groups have raised concern that the complication rate associated with laparoscopic pyloromyotomy is higher than that of the open procedure 6,8,12 . Open pyloromyotomy has a low complication rate and this has doubtless contributed to its success over the years.…”

Single-incision laparoscopic surgery for pyloric stenosis

“…Since then, a number a studies have shown that the standard laparoscopic pyloromyotomy is safe as the traditional operation through abdominal incision [3][4][5][6][7][8][9]. However, in comparing laparoscopic pyloromyotomy with circumumbilical technique, the cosmetic result of endoscopic approach may not be superior [10].…”