Implementation of a Quality Control System for Laparoscopic Pyloromyotomy in Hypertrophic Pyloric Stenosis: Hurdles and Pitfalls

Study evaluates implementation of video-based quality control for laparoscopic pyloromyotomy over 3 years, finding increased documentation compliance (45% to 75%) but limited predictive value for complications. Perioperative images showed only moderate accuracy in predicting reoperation or feeding outcomes, suggesting current limitations for medicolegal use despite potential for education and telementoring.