Single-incision laparoscopic pyloromyotomy: initial experience

Abstract

Single-incision laparoscopic pyloromyotomy is a safe and feasible procedure with good postoperative results and excellent cosmesis. The main challenge is the spatial orientation of the instruments and endoscope in a small working space. This can be overcome by a more longitudinally oriented working axis than used in the conventional angulated laparoscopic configuration.

Experimental laparoscopic pyloromyotomy in pigs

“…Similar observations have been made by Hamada et al 1995. In other studies, the pylorus was stabilized with the use of a single tool in laparoscopic pyloromyotomy (Alain et al 1991, Muensterer et al 2010, but according to the authors, four ports (group 2) is the optimal number of ports in laparoscopic pyloromyotomy.…”

Single-incision laparoscopic surgery for pyloric stenosis

“…However, Muensterer et al [2] refuted this definition [20]. They first performed single-incision laparoscopic pyloromyotomy with good results.…”

“…Laparoscopic pyloromyotomy was first performed by Alain et al [1]. Single-incision laparoscopic pyloromyotomy was introduced in 2009 by Muensterer et al [2]. They performed this operation through three multipuncture fascial incisions.…”

Laparoscopic pyloromyotomy and pyloroplasty in dogs

“…Laparoscopic tools inserted through three working ports were effectively used to grasp and stabilize the pylorus and to incise and dissect the muscular layer. In other studies, the same procedures were performed with the use of only two working ports (Muensterer et al 2010 ), but in the authors' opinion, a higher number of ports permits more reliable stabilization of the pylorus and safer incision and dissection of the muscular layer.…”