Department of Pediatric Surgery, West China Hospital of Sichuan University. #37 Guo-Xue-Xiang, Chengdu, 610041, Sichuan, China.
Day Surgery Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
BMC Surg. 2022 Jun 7;22(1):218. doi: 10.1186/s12893-022-01672-2.
A new novel technique for the treatment of pediatric hypertrophic pyloric stenosis (HPS), transumbilical single-site laparoscopic pyloromyotomy with a single instrument (TUSSLP), was introduced. TUSSLP was compared with the transabdominal three-site laparoscopic pyloromyotomy (TATSLP) procedure.
Patients with HPS who underwent TUSSLP and TATSLP between January 2016 and September 2020 were assigned to group A and group B, respectively. The descriptive variables, perioperative clinical characteristics and postoperative follow-up results were retrospectively analyzed and compared between the 2 groups. The primary outcome of this study was the rate of switching to conventional pyloromyotomy.
Sixty-four patients were enrolled in this study. Of these patients, 29 (22 males, 7 females, 54.4 ± 22.6 days) who received TUSSLP were assigned to group A. The remaining 35 (28 males, 7 females, 54.5 ± 27.6 days) who received TATSLP were assigned to group B. The data of preoperative patient variables were comparable between the 2 groups (P > 0.05). The mean operative time (ORT) was 28.1 ± 5.6 min in group A, which was not significantly different from 25.8 ± 3.1 min in group B (P = 0.25). The other perioperative features were not significantly different between the 2 groups (P > 0.05). During follow-up (39.1 ± 14.7 m in group A and 35.4 ± 16.1 m in group B, P = 0.51), no significant difference was observed in the overall incidence of vomiting between the 2 groups (P = 0.26).
TUSSLP is a feasible and reliable minimally invasive method for HPS. It has the advantages of an improved cosmetic appearance. The postoperative follow-up results of TUSSLP are comparable with those of TATSLP.
介绍一种治疗小儿肥厚性幽门狭窄（HPS）的新的微创技术，即经脐单部位腹腔镜幽门肌切开术（TUSSLP）联合单器械。TUSSLP 与经腹三部位腹腔镜幽门肌切开术（TATSLP）进行比较。
将 2016 年 1 月至 2020 年 9 月期间接受 TUSSLP 和 TATSLP 的 HPS 患者分别纳入 A 组和 B 组。回顾性分析比较两组患者的描述性变量、围手术期临床特征和术后随访结果。本研究的主要转归为转换为传统幽门肌切开术的发生率。
本研究共纳入 64 例患者，其中 29 例（22 例男性，7 例女性，54.4±22.6 天）接受 TUSSLP 治疗的患者被纳入 A 组，其余 35 例（28 例男性，7 例女性，54.5±27.6 天）接受 TATSLP 治疗的患者被纳入 B 组。两组患者术前患者变量数据具有可比性（P＞0.05）。A 组的平均手术时间（ORT）为 28.1±5.6 分钟，与 B 组的 25.8±3.1 分钟无显著差异（P=0.25）。两组的其他围手术期特征无显著差异（P＞0.05）。在随访期间（A 组 39.1±14.7 个月，B 组 35.4±16.1 个月，P=0.51），两组的总体呕吐发生率无显著差异（P=0.26）。
TUSSLP 是治疗 HPS 的一种可行且可靠的微创方法，具有改善美容外观的优点。TUSSLP 的术后随访结果与 TATSLP 相似。
