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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 1/2023

01-12-2023 | Wound Infection | REVIEW

Single-incision versus conventional laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis: a systematic review and meta-analysis

Authors: Peng Wu, Likai Chu, Yicheng Yang, Zhechen Yu, You Tian

Published in: International Journal of Colorectal Disease | Issue 1/2023

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Abstract

Purpose

To assess the safety and efficacy of single-incision versus conventional laparoscopic pyloromyotomy in pediatrics, we conducted a systematic review and meta-analysis.

Methods

A literature search was conducted to identify studies that compared single-incision laparoscopic pyloromyotomy (SILP) and conventional laparoscopic pyloromyotomy (CLP) for infants with hypertrophic pyloric stenosis (HPS). Meta-analysis was used to pool and compare variables such as operative time, time to full feeding, length of hospital stay, mucosal perforation, inadequate pyloromyotomy, wound infection, incisional hernia and overall complications.

Results

Among the 490 infants with HPS in the seven studies, 205 received SILP and 285 received CLP. There was significant longer time to full feeding for SILP compared with CLP. However, pooling the results for SILP and CLP revealed no significant difference in operative time, length of hospital stay and postoperative complications.

Conclusions

SILP is a safe, feasible and effective surgical procedure for infants with HPS when compared to CLP. SILP is equivalent to CLP in terms of operative time, length of hospital stay and postoperative complications. We conclude that LS should be considered an acceptable option for HPS.
Literature
1.
Peeters B, Benninga MA, Hennekam RC (2012) Infantile hypertrophic pyloric stenosis–genetics and syndromes. Nat Rev Gastroenterol Hepatol 9(11):646–60CrossRefPubMed
2.
Alain JL, Grousseau D, Terrier G (1990) Extra-mucosa pylorotomy by laparoscopy. Chir Pediatr 31(4–5):223–4PubMed
3.
Hall NJ, Pacilli M, Eaton S et al (2009) Recovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a doubleblind multicentre randomised controlled trial. Lancet. 373(9661):390–8CrossRefPubMed
4.
Agrawal V, Sharma D, Acharya H et al (2020) Laparoscopic hybrid pyloromyotomy for infantile hypertrophic pyloric stenosis: A simplified technique. J Minim Access Surg 16(4):386–389CrossRefPubMed
5.
Ji Y, Lai X, Xu Z (2022) Transumbilical single-site two incision laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis. BMC Surg 22(1):218CrossRefPubMedPubMedCentral
6.
Kozlov Y, Novogilov V, Podkamenev A et al (2012) Single-incision laparoscopic surgery for pyloric stenosis. Pediatr Surg Int 28(4):347–50CrossRefPubMed
7.
Lu C, Li Z, Xie W et al (2021) A novel two-port single-site laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis. J Minim Access Surg 17(4):486–489CrossRefPubMedPubMedCentral
8.
Muensterer OJ (2010) Single-incision pediatric Endosurgical (SIPES) versus conventional laparoscopic pyloromyotomy: a single-surgeon experience. J Gastrointest Surg 14(6):965–8CrossRefPubMed
9.
Zhang Yue, Ma Lishuang, Zhang Yanxia et al (2015) Comparative Study Between Transumbilical Single-site Laparoscopic Pyloromyotomy and Conventional Laparoscopic Pyloromyotomy. Chin J Min Inv Surg 15(5):398–401
10.
Vahdad MR, Nissen M, Semaan A et al (2015) Can a simplified algorithm prevent incomplete laparoscopic pyloromyotomy? J Pediatr Surg 50(9):1544–8CrossRefPubMed
11.
Hong TH, Kim HL, Lee YS et al (2009) Transumbilical single-port laparoscopic appendectomy (TUSPLA): scarless intracorporeal appendectomy. J Laparoendosc Adv Surg Tech A 19:75–78CrossRefPubMed
12.
Chamberlain RS, Sakpal SV (2009) A comprehensive review of SingleIncision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy. J Gastrointest Surg 13:1733–1740CrossRefPubMed
13.
Raman JD, Bagrodia A, Cadeddu JA (2009) Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison of perioperative outcomes and short-term measures of convalescence. Eur Urol. 55(5):1198–204CrossRefPubMed
14.
Hansen EN, Muensterer OJ, Georgeson KE et al (2011) Single-incision pediatric endosurgery: lessons learned from our first 224 laparoendoscopic single-site procedures in children. Pediatr Surg Int 27(6):643–8CrossRefPubMed
15.
Till H, Wachowiak R, Waldschmidt U et al (2010) Single incision laparoscopic surgery (SILS) for ovarian masses (including teratoma) in adolescent girls. Eur J Pediatr Surg 20(6):425–6CrossRefPubMed
16.
Muensterer OJ, Adibe OO, Harmon CM et al (2010) Single-incision laparoscopic pyloromyotomy: initial experience. Surg Endosc 24(7):1589–93CrossRefPubMed
17.
Binet A, Bastard F, Meignan P et al (2018) Laparoscopic pyloromyotomy: a study of the learning curve. Eur J Pediatr Surg 28(3):238–42CrossRefPubMed
18.
Ballouhey Q, Micle L, Grosos C et al (2018) A simulation model to support laparoscopic pyloromyotomy teaching. J Laparoendosc Adv Surg Tech A 28(6):760–5CrossRefPubMed
Metadata
Title
Single-incision versus conventional laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis: a systematic review and meta-analysis
Authors
Peng Wu
Likai Chu
Yicheng Yang
Zhechen Yu
You Tian
Publication date
01-12-2023
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 1/2023
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-023-04402-z

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