Comparison of outcomes after laparoscopic and open pyloromyotomy at a high-volume pediatric teaching hospital

Adibe, Obinna O.; Nichol, Peter F.; Flake, Alan W.; Mattei, Peter

doi:10.1016/j.jpedsurg.2006.05.051

Cited by 71 publications

(60 citation statements)

References 9 publications

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“…To assess the true complication rate of SILS pyloromyotomy, more experience and larger numbers are required. The SILS operating times were similar to the mean conventional laparoscopic operating times of 20-31 min reported in recent studies [8,9,12]. The technique may be impracticable in infants with intraabdominal adhesions from previous operations, intestinal malrotation, or other unusual anatomy.…”

Section: Discussionsupporting

confidence: 76%

Single-incision laparoscopic pyloromyotomy: initial experience

et al. 2009

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Section: Discussionsupporting

confidence: 76%

Single-incision laparoscopic pyloromyotomy: initial experience

et al. 2009

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“…It is evident, however, that laparoscopy is associated with a longer operation time and a higher rate of surgical complications during the learning curve of the surgeons. This has been verified in many different specalties, including general5 6 urological,7 8 paediatric,9 and gynaecological surgery 10. The possibility of overcoming these problems during the learning curve by appropriate training and ensuring that surgeons perform a sufficient number of procedures has also been documented 11.…”

Section: Introductionmentioning

confidence: 86%

Effect of virtual reality training on laparoscopic surgery: randomised controlled trial

Larsen

Soerensen²,

Grantcharov

et al. 2009

BMJ

495

315

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Objective To assess the effect of virtual reality training on an actual laparoscopic operation.Design Prospective randomised controlled and blinded trial.Setting Seven gynaecological departments in the Zeeland region of Denmark.Participants 24 first and second year registrars specialising in gynaecology and obstetrics.Interventions Proficiency based virtual reality simulator training in laparoscopic salpingectomy and standard clinical education (controls).Main outcome measure The main outcome measure was technical performance assessed by two independent observers blinded to trainee and training status using a previously validated general and task specific rating scale. The secondary outcome measure was operation time in minutes.Results The simulator trained group (n=11) reached a median total score of 33 points (interquartile range 32-36 points), equivalent to the experience gained after 20-50 laparoscopic procedures, whereas the control group (n=10) reached a median total score of 23 (22-27) points, equivalent to the experience gained from fewer than five procedures (P<0.001). The median total operation time in the simulator trained group was 12 minutes (interquartile range 10-14 minutes) and in the control group was 24 (20-29) minutes (P<0.001). The observers’ inter-rater agreement was 0.79.Conclusion Skills in laparoscopic surgery can be increased in a clinically relevant manner using proficiency based virtual reality simulator training. The performance level of novices was increased to that of intermediately experienced laparoscopists and operation time was halved. Simulator training should be considered before trainees carry out laparoscopic procedures.Trial registration ClinicalTrials.gov NCT00311792.

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“…Since then, other groups have reported their experiences of its efficacy [2][3][4]. Recently, a prospective, randomized trial comparing open versus laparoscopic pyloromyotomy has been reported [5].…”

Section: Discussionmentioning

confidence: 99%