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Surgical technique of laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis

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Abstract

We report herein a new method of performing laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis, using refined surgical techniques. The pyloric tumor was immobilized by grasping the first portion of the duodenum and the anterior wall of the stomach, and electrocoagulation was used prior to incising the pyloric tumor to minimize bleeding during the procedure. Although this technique has been applied in only two patients so far, we present the details herein. We believe that with technical and instrumental refinements, the speed and safety of laparoscopic pyloromyotomy will improve and it will become an alternative to open surgery in pediatric patients.

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Authors and Affiliations

  1. Second Department of Surgery, Kansai Medical University, 10-15 Fumizono, Moriguchi, 570, Osaka, Japan

    Yoshinori Hamada, Masazumi Tsuji, Munehisa Kogata & Koshiro Hioki

  2. Department of Urology, Kansai Medical University, 10-15 Fumizono, Moriguchi, 570, Osaka, Japan

    Tadashi Matsuda

Authors
  1. Yoshinori Hamada
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  2. Masazumi Tsuji
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  3. Munehisa Kogata
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  4. Koshiro Hioki
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  5. Tadashi Matsuda
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Hamada, Y., Tsuji, M., Kogata, M. et al. Surgical technique of laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis. Surg Today 25, 754–756 (1995). https://doi.org/10.1007/BF00311495

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  • DOI: https://doi.org/10.1007/BF00311495

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