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Related Experiment Videos

Totally laparoscopic feeding jejunostomy.

J W Allen1, A Ali, J Wo

  • 1Department of Surgery, University of Louisville School of Medicine and the Center for Advanced Surgical Technologies, Norton Hospital, Louisville, KY 40292, USA. jeffa@iglou.com

Surgical Endoscopy
|July 26, 2002
PubMed
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A novel laparoscopic jejunostomy tube (LJT) placement technique uses standard equipment, offering a safe and effective method for nutritional support in patients needing jejunal access. This minimally invasive approach avoids specialized instruments, making it widely applicable.

Area of Science:

  • Minimally Invasive Surgery
  • Gastroenterology
  • Surgical Techniques

Background:

  • Nutritional support via feeding jejunostomy is crucial for select patients.
  • Existing minimal-access jejunal tube placement often requires specialized equipment.
  • A technique for totally laparoscopic jejunostomy tube (LJT) placement using standard operating theater equipment is described.

Purpose of the Study:

  • To describe a technique for totally laparoscopic jejunostomy tube (LJT) placement.
  • To evaluate the safety and efficacy of this LJT technique using commonly available equipment.

Main Methods:

  • Thirty-five patients underwent LJT placement over 12 months for various indications.
  • The technique involved three trocar incisions and one small incision for tube insertion.

Related Experiment Videos

  • A 16-Fr T-tube was placed transabdominally into the jejunum, with secure closure and fixation.

    • Main Results:

    • All 35 patients tolerated the procedure well, with no operative deaths.
    • Five LJTs were electively removed postoperatively.
    • One patient required reoperation for intractable pain, though the LJT remained intact.

    Conclusions:

    • The described technique allows for safe placement of laparoscopic jejunostomy tubes.
    • No significant morbidity or mortality was observed in this series.
    • This approach is suitable for patients requiring jejunal access for feeding.