Trocar guided laparoscopic feeding jejunostomy: a simple new technique

Area of Science:

• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic feeding jejunostomy is crucial for nutritional support.
• Existing methods often rely on expensive commercial kits.

Purpose of the Study:

• To present a novel, simple, and low-cost laparoscopic jejunostomy tube placement technique.
• To evaluate the safety and efficacy of this new method.

Main Methods:

• A 4-port technique utilizing a left lateral guide trocar.
• Sutures placed on the jejunum are exteriorized and tied around a Foley catheter.
• Eight patients underwent the procedure between 2007 and 2009.

Main Results:

• Successful jejunostomy placement in all eight patients.
• Median operative time was 70.5 minutes.
• No postoperative complications (infection, bleeding, obstruction) or perioperative mortality were observed.

Conclusions:

• The trocar-guided approach is a simple, cost-effective, safe, and effective method for laparoscopic feeding jejunostomy.
• This technique offers a viable alternative to costly commercial kits.