Laparoscopic or Open Surgery for Infantile Pyloric Stenosis?

Laparoscopic surgery is superior for correcting pyloric stenosis.

Infantile pyloric stenosis can be corrected with either laparoscopic or open pyloromyotomy. To compare the two corrective methods, researchers randomized 180 infants who presented to six international tertiary pediatric surgical centers between June 2004 and May 2007 to undergo one of the two techniques performed by or under the supervision of experienced pediatric surgeons.

Opaque dressings were applied to all infants after surgery, and parents and attending physicians were informed of the surgical technique only at discharge. The trial was discontinued early because of a clear benefit with laparoscopic correction. Median length of hospital stay and time to full enteral feeding were significantly shorter in the laparoscopic group (by 10 hou…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)