Laparoscopic extramucosal pyloromyotomy versus open pyloromyotomy for infantile hypertrophic pyloric stenosis: Which is better?

Fujimoto, Toshio; Lane, Geoffrey J.; Segawa, Osamu; Esaki, Saori; Miyano, Takeshi

doi:10.1016/s0022-3468(99)90212-9

Cited by 115 publications

(77 citation statements)

References 9 publications

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“…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.…”

Section: Resultsmentioning

confidence: 92%

“…There is no doubt that the laparoscopic approach requires more equipment and is technically more demanding, but it is not certain whether the longer operating time is detrimental to the young infant. A number of groups have reported similar operating times with both approaches 5,6,10,11 , whereas others have noted a shorter duration of operation with the laparoscopic procedure 9,16 . With increasing experience the operating time for laparoscopic pyloromyotomy might be expected to shorten and approach that achievable with the open procedure.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Retrospective comparison of open versus laparoscopic pyloromyotomy

Hall

Ade-Ajayi

Al-Roubaie

et al. 2004

British Journal of Surgery

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Section: Resultsmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Retrospective comparison of open versus laparoscopic pyloromyotomy

Hall

Ade-Ajayi

Al-Roubaie

et al. 2004

British Journal of Surgery

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“…This seems to be less pronounced compared to conventional surgery. Experimental studies demonstrated a decreased production of circulatory and abdominal IL-6, a decreased production of abdominal polymorphnuclear cells (PMN), and a decreased production of reactive oxygen species (ROS) in abdominal and alveolar macrophages [13,14]. This is especially important for children suffering from malignancies that require pre-and postoperative chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of minimally invasive techniques in pediatric surgical oncology: preliminary report

Warmann

Fuchs

Jesch

et al. 2003

Med. Pediatr. Oncol.

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“…Ainda é bastante controversa a indicação da videolaparoscopia para tratamento da estenose hipertrófica do piloro 6,38 , hérnias inguinais na criança 26,27 , fase inicial de apendicite em crianças pequenas ou magras 1,12,13 , biópsia renal e varicocele 32 . Em todos estes casos, as operações por via aberta por mini-incisões estéticas são fáceis e de baixa morbidade.…”

Section: Discussionunclassified

Applications of videolaparoscopic surgery in children

Esteves

Neto

et al. 2001

J Pediatr (Rio J)

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ResumenObjetivo: apresentar a casuística de videolaparoscopias do serviço, analisando as principais indicações para operações videolaparoscópicas em pediatria e considerando as vantagens e desvantagens em relação aos procedimentos convencionais por laparotomia.Métodos: análise retrospectiva de 612 videolaparoscopias em crianças com idades de 8 dias a 17 anos, operadas de novembro/1995 a 2000. São descritos os princípios básicos da videolaparoscopia e o manejo pós-operatório nas inúmeras indicações pediátricas. Os resultados, vantagens e complicações foram analisados após um período de seguimento de até 5 anos.Resultados: a cirurgia laparoscópica permitiu realizar vários procedimentos abdominais convencionalmente efetuados por via aberta, sobretudo no tratamento do refluxo gastroesofágico, abdome agudo inflamatório, criptorquidia, obstrução por bridas, litíase biliar, tumores, afecções de ovário, esplenectomia, aganglionose, trauma e outros. A morbidade foi baixa (1%) e a mortalidade devido à laparoscopia foi nula. Houve conversão para laparotomia em somente 14 casos (2,3%), sobretudo em trauma. As principais vantagens incluíram mínimos trauma cirúrgico, dor e íleo paralítico, pouco tempo de internação, quase ausência de hérnia incisional e melhor estética.Conclusões: a videolaparoscopia parece ser um grande avanço da cirurgia pediátrica moderna, permitindo tratar de modo menos invasivo e com segurança grande parte das afecções abdominais em crianças de todas as idades.J Pediatr (Rio J) 2001; 77 (5): 407-12: cirurgia pediátrica, videolaparoscopia, refluxo gastroesofágico, abdome agudo, trauma. AbstractObjectives: to present the videolaparoscopies performed by the Children's Surgery Service, and study the main indications for pediatric laparoscopic surgeries, considering advantages and disadvantages over conventional open procedures.Methods: retrospective analysis of 612 videolaparoscopies in children aged between 8 days and 17 years treated from November/ 95 to 2000. Basic principles of videolaparoscopy and the postoperative management of several pediatric diseases are described. The results, advantages, and complications were analyzed after a 5-year follow-up period.Results: laparoscopic surgery allowed for a wide series of abdominal procedures conventionally carried out through open surgery, mainly for the treatment of gastroesophageal reflux disease, inflammatory acute abdomen, adhesive intestinal obstruction, biliary lithiasis, tumors, cryptorchidism, ovarian diseases, splenectomies, aganglionosis, trauma and others. Morbidity was low (1%), and mortality due to laparoscopy was nonexistent. Conversion to laparotomy occurred in only 14 cases (2.3%), mainly because of trauma. The principal advantages included minimal surgical trauma, pain and reflex ileum, short hospital stay, almost no incisional hernias and better cosmetic scars.Conclusions: videolaparoscopy seems to be a great advance in modern pediatric surgery, allowing safer and less invasive treatment of a wide series of abdominal diseases at all pediatri...

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Laparoscopic extramucosal pyloromyotomy versus open pyloromyotomy for infantile hypertrophic pyloric stenosis: Which is better?

Cited by 115 publications

References 9 publications

Retrospective comparison of open versus laparoscopic pyloromyotomy

Retrospective comparison of open versus laparoscopic pyloromyotomy

A prospective study of minimally invasive techniques in pediatric surgical oncology: preliminary report

Applications of videolaparoscopic surgery in children

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