Regarding the recent systematic reviews comparing outcomes for laparoscopic vs open pyloromyotomy, These studies showed that the laparoscopic approach was associated with:​

 

A Reduced operative time

 

B Increased risk of surgical site infection

 

C Increased risk of incomplete myotomy

 

D Reduced risk of mucosal perforation​

c

C

C

correct answer

C Increased risk of incomplete myotomy

​

Multiple studies have compared outcomes for laparoscopic versus open pyloromyotomy. The results are variable and inconsistent. In a recent Cochrane Review, laparoscopic pyloromyotomy was found to be possibly associated with a small increased rate of incomplete myotomy and mucosal perforation. Another systematic review showed similar trends. Operative time is almost identical for laparoscopic and open pyloromyotomy. The effect on surgical site infection is uncertain.