{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:28:46Z","timestamp":1785252526428,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>When the disposable arthroscopic banana knife (Linvatec, Largo, FL) became unavailable, many pediatric surgeons adapted the use of spatula tip cautery for laparoscopic pyloromyotomy; however, reusable arthroscopic knives remain readily available and are well suited to the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We compared laparoscopic pyloromyotomy with a reusable arthroscopic banana knife (Sklar, West Chester, PA; catalog no. 45-6050) to those using spatula tip cautery at a single institution between September 1, 2012, and December 31, 2019. Mann\u2013Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      test was used to compare operative time, room time, and time to discharge between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, 109 patients underwent pyloromyotomy for hypertrophic pyloric stenosis during the study time period. Of these, 12 were open and one was undertaken with the Storz pyloromyotomy knife, so these were excluded. A total of 74 (77.1%) laparoscopic cases with spatula tip cautery and 22 (22.9%) with the banana knife were included. Mean age at the time of surgery was \u223c37 days. The majority of patients in each group were white, male, and full term. The most common comorbid conditions were reactive airway disease and neonatal abstinence syndrome. There were no significant differences in operative time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.61), room time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.41), or time from surgery to discharge (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.26) between procedures using the banana knife and those using the cautery spatula tip. There were no perforations or recurrences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our findings suggest that the reusable banana knife is a safe and effective alternative to spatula tip cautery for laparoscopic pyloromyotomy, with no difference in operative time, time from surgery to discharge, or complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2021.0370","type":"journal-article","created":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T08:13:13Z","timestamp":1637050393000},"page":"1455-1459","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Return of the Banana Knife: An Alternative Instrument for Laparoscopic Pyloromyotomy"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9120-0918","authenticated-orcid":false,"given":"Heather M.","family":"Grant","sequence":"first","affiliation":[{"name":"Department of Surgery, UMass Medical School\u2014Baystate, Springfield, Massachusetts, USA."},{"name":"Institute for Healthcare Delivery and Population Science, UMass Medical School\u2014Baystate, Springfield, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory T.","family":"Banever","sequence":"additional","affiliation":[{"name":"Department of Surgery, UMass Medical School\u2014Baystate, Springfield, Massachusetts, USA."},{"name":"Baystate Children's Hospital, Springfield, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin P.","family":"Moriarty","sequence":"additional","affiliation":[{"name":"Department of Surgery, UMass Medical School\u2014Baystate, Springfield, Massachusetts, USA."},{"name":"Baystate Children's Hospital, Springfield, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria K.","family":"Pepper","sequence":"additional","affiliation":[{"name":"Baystate Children's Hospital, Springfield, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Tashjian","sequence":"additional","affiliation":[{"name":"Department of Surgery, UMass Medical School\u2014Baystate, Springfield, Massachusetts, USA."},{"name":"Baystate Children's Hospital, Springfield, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael V.","family":"Tirabassi","sequence":"additional","affiliation":[{"name":"Department of Surgery, UMass Medical School\u2014Baystate, Springfield, Massachusetts, USA."},{"name":"Baystate Children's Hospital, Springfield, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"223","article-title":"Extra-mucosa pylorotomy by laparoscopy","volume":"31","author":"Alain J","year":"1990","unstructured":"Alain J, , Grousseau G, , Terrier G. 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