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2016, Number 6

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Rev Mex Pediatr 2016; 83 (6)

Laparoscopic pyloromyotomy, a good option?

Carmona-Librado S, González-Zamora JF, González-Mondragón MB, Asz J, Cabrera-Hernández MA

Language: Spanish
References: 16
Page: 187-190
PDF size: 284.63 Kb.


ABSTRACT

Background: The surgical approach for infantile hypertrophic pyloric stenosis (IHPS) has evolved; currently laparoscopic approach (LA) is proposed as a cost-effective option. The goal is to show our series of cases including 2 cases operated with 5 mm equipment, and review of the current literature. Material and methods: A review of the first 7 cases operated by LA at the National Institute of Pediatrics (INP) diagnosed with IHPS was performed. The first 2 cases were operated with 5 mm instrumental and the other 5 with 3 mm. Results: In 7 patients the procedure was successful without complications during of after surgery. The average operative time was 41.4 minutes (range 20-50 min), the resumption of orally was 2 to 17 hours, the average discharge time after surgery was 1.7 days. Cases operated with 5 mm equipment showed no postoperative vomiting. Conclusions: LA results are strongly influenced by an undeniable learning curve of each surgeon, each hospital and the instruments used; however, the advantages demonstrated and the results of recent cost-effectiveness studies, tilt the balance toward the LA.


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