Dergiler / Şişli Etfal Hastanesi Tıp Bülteni / 2020 / Cilt: 54 - Sayı: 3

Our Experience with Laparoscopic Pyloromyotomy in Patients with Infantile Hypertrophic Pyloric Stenosis

Sayfa
333–336
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The duration of the first and last cases was 110 mins and 35 mins, respectively.Conclusion: The laparoscopic approach in patients with infantile hypertrophic pyloric stenosis can result in good postoperativeoutcomes and satisfying surgery in the hands of surgeons who perform minimally invasive surgery routinely.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objectives: In this study, we aim to discuss our experience with laparoscopic pyloromyotomy in patients with infantile hypertrophicpyloric stenosis (IHPS) and skills development throughout our learning curve.Methods: We retrospectively collected data from 15 patients with IHPS who underwent laparoscopic pyloromyotomy between 2016and 2019 in our clinic.
📊
Temel Bulgular & Veri:Evolution in operation techniques, peroperative and postoperative surgical complications were analysed.Results: In this research, 15 patients (male-to-female ratio:2.7/1) were studied.
💡
Sonuç & Katkı:The duration of the first and last cases was 110 mins and 35 mins, respectively.Conclusion: The laparoscopic approach in patients with infantile hypertrophic pyloric stenosis can result in good postoperativeoutcomes and satisfying surgery in the hands of surgeons who perform minimally invasive surgery routinely.
🔬Tür:Araştırma Makalesi
📍Kapsam:2019 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objectives: In this study, we aim to discuss our experience with laparoscopic pyloromyotomy in patients with infantile hypertrophicpyloric stenosis (IHPS) and skills development throughout our learning curve.Methods: We retrospectively collected data from 15 patients with IHPS who underwent laparoscopic pyloromyotomy between 2016and 2019 in our clinic. Evolution in operation techniques, peroperative and postoperative surgical complications were analysed.Results: In this research, 15 patients (male-to-female ratio:2.7/1) were studied. The median age at presentation was 36.5 days (25-100 days). Non-bilious projectile vomiting was seen in all of the patients, and in eight cases, marked failure to thrive was seen. Situsinversus totalis was seen in one of the cases as an associated anomaly, no other anomalies were noted. A palpable olive-shapedmass was found in only 33% of infants (five cases). A patient was detected to have no IHPS peroperatively. One of the cases wasconverted to open technique due to peroperative technical difficulties. A patient underwent 2nd operation due to incompletepyloromyotomy. The duration of the first and last cases was 110 mins and 35 mins, respectively.Conclusion: The laparoscopic approach in patients with infantile hypertrophic pyloric stenosis can result in good postoperativeoutcomes and satisfying surgery in the hands of surgeons who perform minimally invasive surgery routinely.

🔖

Bu Makaleye Atıf Yap

KABA, M., KARADAĞ, Ç. A., DEMİR, M., SEVER, N., AYDIN, P. Ü., AKIN, M., DOKUCU, A. İ. (2020). Our Experience with Laparoscopic Pyloromyotomy in Patients with Infantile Hypertrophic Pyloric Stenosis. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 54 - Sayı: 3, 333–336. https://ajindex.com/articles/363399

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (10)

  1. Georgoula C, Gardiner M. Pyloric stenosis a 100 years after Ramstedt. Arch Dis Child 2012;97:741–5
  2. Said M, Shaul DB, Fujimoto M, Radner G, Sydorak RM, Applebaum H. Ultrasound measurements in hypertrophic pyloric stenosis: don't let the numbers fool you. Perm J 2012;16:25–7
  3. Ramstedt C, Zur Operation der angeborene Pylorusstenose. Med Klin 1912;8:1702–5
  4. Tan KC, Bianchi A. Circumumbilical incision for pyloromyotomy. Br J Surg 1986;73:399
  5. Alain JL, Grousseau D, Terrier G. Extra-mucosa pylorotomy by laparoscopy. [Article in French]. Chir Pediatr 1990;31:223–4
  6. Başaklar C. Hipertrofik pilor stenozu. Mide çıkış hastalıklar. In: Bebek ve Çocukların Cerrahi ve Ürolojik Hastalıkları. Ankara: Palme Yayıncılık; 2006; 427–48
  7. Binet A, Klipfel C, Meignan P, Bastard F, Cook AR, Braïk K, et al. Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: a survey of 407 children. Pediatr Surg Int 2018;34:421–6. 8. van der Bilt JD, Kramer WL, van der Zee DC, Bax NM. Early feeding after laparoscopic pyloromyotomy: the pros and cons. Surg Endosc 2004;18:746–8. 9. van der Bilt JD, Kramer WL, van der Zee DC, Bax NM. Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: impact of experience on the results in 182 cases. Surg Endosc 2004;18:907–9
  8. Jia WQ, Tian JH, Yang KH, Ma B, Liu YL, Zhang P, et al. Open versus laparoscopic pyloromyotomy for pyloric stenosis: a meta-analysis of randomized controlled trials. Eur J Pediatr Surg 2011;21:77–81
  9. Ballouhey Q, Clermidi P, Roux A, Bahans C, Compagnon R, Cros J, et al. Differential learning processes for laparoscopic and open supraumbilical pyloromyotomy. Pediatr Surg Int 2016;32:1047– 52
  10. Oomen MW, Hoekstra LT, Bakx R, Heij HA. Learning curves for pediatric laparoscopy: how many operations are enough? The Amsterdam experience with laparoscopic pyloromyotomy. Surg Endosc 2010;24:1829–33.