Comparison of the incidence of complications in open and laparoscopic pyloromyotomy: a concurrent single institution series.

Autor: Yagmurlu A; Division of Pediatric Surgery, University of Alabama at Birmingham, Birmingham, AL, USA., Barnhart DC, Vernon A, Georgeson KE, Harmon CM
Jazyk: angličtina
Zdroj: Journal of pediatric surgery [J Pediatr Surg] 2004 Mar; Vol. 39 (3), pp. 292-6; discussion 292-6.
DOI: 10.1016/j.jpedsurg.2003.11.047
Abstrakt: Purpose: The purpose of this study was to compare the incidence and type of technical complications seen in a concurrent series of pyloromyotomies done open and laparoscopically.
Methods: The medical records of all patients who underwent pyloromyotomy for congenital hypertrophic pyloric stenosis over a 66-month period were reviewed (n = 457). Information obtained included age, sex, weight, operating time, and intraoperative and postoperative complications.
Results: Four hundred fifty-seven pyloromyotomies were equivalently divided between the 2 techniques (232 laparoscopic, 225 open). Demographic characteristics and operating times were similar. There were no deaths in the series. The overall incidences of complications were similar in the 2 groups (open, 4.4%; laparoscopic, 5.6%). There was a greater rate of perforation with the open technique and a higher rate of postoperative problems including incomplete pyloromyotomy in the laparoscopic group.
Conclusions: The open and laparoscopic approaches have similar overall complication rates. The distribution and the type of complications differ, however.
Databáze: MEDLINE
Externí odkaz: