Autoadjustable sutures and modified seldinger technique applied to laparoscopic jejunostomy
Diego Pili1, Franco Ciotola, Juan Martín Riganti
1Esophageal Surgery Program, Department of Surgery, Hospital Universitario Fundacion Favaloro, Av. Belgrano 1752, Buenos Aires, Argentina.
World Journal of Surgery
|October 17, 2014
Summary
A novel laparoscopic jejunostomy technique offers a safe alternative feeding method for esophageal carcinoma patients. This simple procedure resulted in no complications in 25 patients, demonstrating its effectiveness and safety.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Esophageal carcinoma often necessitates alternative feeding methods.
- Traditional feeding tube placements can be challenging or ineffective.
- Need for simple, safe, and effective enteral feeding solutions.
Purpose of the Study:
- To describe a novel laparoscopic technique for jejunostomy.
- To evaluate the safety and efficacy of this technique in patients with esophageal carcinoma.
Main Methods:
- Laparoscopic approach for intestinal loop selection and exteriorization.
- Jejunostomy creation using the Seldinger technique.
- Application of autoadjustable sutures for secure closure.
Main Results:
- Successful jejunostomy in all 25 patients with esophageal carcinoma.
- The technique was applied as an alternative feeding method.
- Zero reported cases of morbidity or mortality.
Conclusions:
- This laparoscopic jejunostomy technique is a simple, safe, and effective alternative feeding method.
- It is well-tolerated by patients with esophageal carcinoma.
- The procedure demonstrates a favorable safety profile with no complications.
