The Cross-technique for single-incision pediatric endosurgical pyloromyotomy

Abstract

The Cross-technique appears superior to standard SIPES pyloromyotomy and should be preferentially used for single-incision endosurgical pyloromyotomy for hypertrophic pyloric stenosis.

Single-Incision Laparoscopic Surgery in Diagnosis and Treatment for Gastrointestinal Bleeding of Obscure Origin in Children

“…We and others have described the technique of crossing 2 straight instruments in performing SILS in children to keep the surgeon's hands apart, minimize clashing of instruments, avoid the laparoscopic view parallel with the working instruments, and allow intracorporeal maneuverability comparable to CL. 12,[23][24][25] However, the operating surgeon needs to get accustomed to the new ergonomics where the left-handed instrument is on the right side of the operative field and vice versa. We have recently demonstrated in video manuscripts that the crossed-instruments technique is not that counter-intuitive as it may sound, even in complex urological ablative procedures.…”

Laparoscopic Pyloromyotomy: A Study of the Learning Curve

“…1-10); a second period (period II), could be called "consolidation period" (case nos. [11][12][13][14][15][16][17][18][19][20], and a third period (period III), as an "improvement period" (starting from case no. 21).…”

“…In 1991, laparoscopic pyloromyotomy (LPM) had been introduced as an alternative method by Alain et al 10 Originally recorded observations and experiences emphasized the difficulty of this procedure, the longer operative time, and the higher incidence of intra-and postoperative complications. [11][12][13] Currently, the literature points out the same efficiency of the laparoscopic approach compared with laparotomy. LPM is described as safe as laparotomy.…”

Efficacy of Transumbilical single incision-Laparoscopic-assisted surgery in pediatric patients

“…In 2015, Yuri, et al reported reviewing single incision surgery in a pediatric patient and proposed the nomenclature 'single incision pediatric endosurgery' (SIPES). In the literature, they reported SIPES applied to neonates and patients under 12 months of age [2,[7][8][9]. Numerous studies have address the feasibility of single incisions.…”