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

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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.

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Data availability

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Peeters B, Benninga MA, Hennekam RC (2012) Infantile hypertrophic pyloric stenosis–genetics and syndromes. Nat Rev Gastroenterol Hepatol 9(11):646–60

    Article  CAS  PubMed  Google Scholar 

  2. Alain JL, Grousseau D, Terrier G (1990) Extra-mucosa pylorotomy by laparoscopy. Chir Pediatr 31(4–5):223–4

    CAS  PubMed  Google Scholar 

  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):390–8

    Article  PubMed  Google Scholar 

  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):386–389

    Article  PubMed  Google Scholar 

  5. Ji Y, Lai X, Xu Z (2022) Transumbilical single-site two incision laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis. BMC Surg 22(1):218

    Article  PubMed  PubMed Central  Google Scholar 

  6. Kozlov Y, Novogilov V, Podkamenev A et al (2012) Single-incision laparoscopic surgery for pyloric stenosis. Pediatr Surg Int 28(4):347–50

    Article  PubMed  Google Scholar 

  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):486–489

    Article  PubMed  PubMed Central  Google Scholar 

  8. Muensterer OJ (2010) Single-incision pediatric Endosurgical (SIPES) versus conventional laparoscopic pyloromyotomy: a single-surgeon experience. J Gastrointest Surg 14(6):965–8

    Article  PubMed  Google Scholar 

  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

    Google Scholar 

  10. Vahdad MR, Nissen M, Semaan A et al (2015) Can a simplified algorithm prevent incomplete laparoscopic pyloromyotomy? J Pediatr Surg 50(9):1544–8

    Article  PubMed  Google Scholar 

  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 19:75–78

    Article  PubMed  Google Scholar 

  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 13:1733–1740

    Article  PubMed  Google Scholar 

  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):1198–204

    Article  PubMed  Google Scholar 

  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):643–8

    Article  PubMed  Google Scholar 

  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):425–6

    Article  CAS  PubMed  Google Scholar 

  16. Muensterer OJ, Adibe OO, Harmon CM et al (2010) Single-incision laparoscopic pyloromyotomy: initial experience. Surg Endosc 24(7):1589–93

    Article  PubMed  Google Scholar 

  17. Binet A, Bastard F, Meignan P et al (2018) Laparoscopic pyloromyotomy: a study of the learning curve. Eur J Pediatr Surg 28(3):238–42

    Article  PubMed  Google Scholar 

  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):760–5

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors are grateful to Dr. Xu Liu of Department of Pediatric Surgery, Xuzhou Children's Hospital, for his help in revising the figures in this paper.

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Author notes

  1. Peng Wu and Likai Chu contributed equally to the work.

Authors and Affiliations

  1. Department of Pediatric Surgery, Northwest Women and Children’s Hospital, Xi’An, Shaanxi, China

    Peng Wu

  2. Department of Ultrasound, Children’s Hospital of Soochow University, Suzhou, Jiangsu, 215025, P.R. China

    Likai Chu

  3. Department of Urology, Children’s Hospital of Soochow University, Suzhou, Jiangsu, 215025, P.R. China

    Yicheng Yang & Zhechen Yu

  4. Department of Pediatric Surgery, Hangzhou Children’s Hospital, Hangzhou, Zhejiang, China

    You Tian

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  1. Peng Wu
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Contributions

Peng Wu. MD. Conception and design of study, Drafting the manuscript. Likai Chu. MD. acquisition of data, Drafting the manuscript. Yicheng Yang. MSc. acquisition of data, Drafting the manuscript. Zhechen Yu. MSc. acquisition of data, Drafting the manuscript. You Tian. MD. Conception and design of study, analysis and/or interpretation of data, Drafting the manuscript.

Corresponding author

Correspondence to You Tian.

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Wu, P., Chu, L., Yang, Y. et al. Single-incision versus conventional laparoscopic pyloromyotomy for pediatric hypertrophic pyloric stenosis: a systematic review and meta-analysis. Int J Colorectal Dis 38, 118 (2023). https://doi.org/10.1007/s00384-023-04402-z

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  • DOI: https://doi.org/10.1007/s00384-023-04402-z

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