Abstract
Infantile hypertrophic pyloric stenosis is a common problem in pediatric surgery. Conventional management by the open extramucosal pyloromyotomy has been the method of choice for decades. Advanced, minimally invasive surgery also allows successful endoscopic management of this entity. We report our experience with 14 cases of laparoscopic pyloromyotomy, concentrating on technical details. The infants tolerated the operative procedure well. There was one complication, a perforation that was spotted immediately and managed with conversion to the open method with sutures. Our experience suggests that laparoscopic pyloromyotomy can be a safe and efficient procedure, but during the learning phase, the indication for laparoscopy should be decided on a case-by-case basis and performed by an experienced laparoscopic surgeon. Careful selection of patients is helpful to increase confidence and operative comfort.
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