EARLY EXPERIENCE WITH LAPAROSCOPIC PYLOROMYOTOMY FOR INFANTILE HYPERTROPHIC PYLORIC-STENOSIS

The authors report on 37 infants with infantile hypertrophic pyloric s tenosis who underwent successful laparoscopic pyloromyotomy. The avera ge age was 6 weeks and average weight was 4.5 kg. Three 4-mm ports wer e used in each procedure. The average operating time was 29 minutes (r ange, 7 to 60 minutes). Feeding was begun an average of 5.2 hours (ran ge, 3 to 12 hours) postoperatively, and the average time of discharge was 28 hours (range, 16 to 52 hours) postoperatively. There were no te chnical failures. One patient had minor surgical emphysema, which reso lved spontaneously. Laparoscopic pyloromyotomy can be safe and success ful in infants with hypertrophic pyloric stenosis. Copyright (C) 1995 by W.B. Saunders Company