title: Single-incision laparoscopic surgery for pyloric stenosis.
abstract: BACKGROUND
  Laparoscopy is the most common procedure for correction of congenital pyloric stenosis. The standard laparoscopic approach is based on the three-port technique. In contrast to the standard laparoscopic technique, the single-incision laparoscopic surgery (SILS) requires only one incision. We report on our experience with this surgical approach.
  
  
  METHODS
  Between September 2009 and August 2010 a total of 24 children underwent a laparoscopic pyloromyotomy, 12 in SILS technique. The single incision was carried through the center of the umbilicus. The working instruments were introduced in a two-dimensional direction into the peritoneal cavity via the same umbilical incision. The two groups were compared for patients' demographics, operative report and early postoperative outcomes.
  
  
  RESULTS
  All SILS procedures were performed successfully with no conversion rate. There were no differences in the preoperative parameters between the two groups regarding age before surgery and body weight at operation. Operative time and time of full enteral intake was similar to comparable procedures with usage of a standard laparoscopic approach. There were no operative or postoperative complications.
  
  
  CONCLUSIONS
  The early experience described in this study confirms that SILS can be applied for treatment of pyloric stenosis with outcomes similar to the standard laparoscopic surgery.
authors.affiliation: Pediatric Hospital, Irkutsk, Russian Federation. yuriherz@hotmail.com
authors.forename: Yury
authors.initials: Y
authors.lastname: Kozlov
authors.forename: Vladimir
authors.initials: V
authors.lastname: Novogilov
authors.forename: Alexey
authors.initials: A
authors.lastname: Podkamenev
authors.forename: Andrey
authors.initials: A
authors.lastname: Rasputin
authors.forename: Irina
authors.initials: I
authors.lastname: Weber
authors.forename: Alexey
authors.initials: A
authors.lastname: Solovjev
authors.forename: Pavel
authors.initials: P
authors.lastname: Yurkov
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D011707:Pyloric Stenosis / Q000601:surgery*