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Related Experiment Video

Updated: Jan 22, 2026

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
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Gastrostomy: A percutaneous laparoscopic technique.

Francisco Saitua1, Alvaro Weibel2, Patricio Herrera3

  • 1Hospital Luis Calvo Mackenna, Santiago, Chile; Universidad de Chile, Santiago, Chile; Clínica Alemana de Santiago, Chile.

Journal of Pediatric Surgery
|July 9, 2019
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Summary
This summary is machine-generated.

A new percutaneous laparoscopic gastrostomy technique for Nissen fundoplication is safe and effective. This method simplifies gastrostomy tube placement, reducing operative time and complications for patients undergoing major abdominal surgery.

Keywords:
GastrostomyLaparoscopicNissenPercutaneous endoscopic

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Innovation

Background:

  • No standard technique exists for concomitant gastrostomy during major abdominal surgery.
  • Existing methods may have limitations or require specialized equipment.

Purpose of the Study:

  • To present a novel percutaneous laparoscopic gastrostomy technique.
  • To evaluate its safety, efficacy, and feasibility in conjunction with Nissen fundoplication.

Main Methods:

  • Combines laparoscopic instruments with percutaneous endoscopic gastrostomy kit.
  • Gastrostomy performed in three stages using a 'pull' technique with a guide-wire.
  • Utilizes laparoscopic visualization for site selection and puncture, eliminating the need for a gastroscope.

Main Results:

  • The technique is simple, brief (approx. 21 minutes), and well-tolerated.
  • No intraoperative or postoperative complications were reported.
  • Stitches to affix gastric and abdominal walls were unnecessary due to proper stoma alignment.

Conclusions:

  • This percutaneous laparoscopic gastrostomy is a safe, reproducible, and cost-effective alternative.
  • It offers potential advantages over traditional 'push' methods for gastrostomy tube placement.
  • The technique requires no exceptional surgical skills and simplifies concomitant gastrostomy procedures.