Related Experiment Video
Updated: Dec 31, 2025
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Laparoscopic Gastrostomy Placement in Children Has Few Major, but Many Minor Early Complications
Morten Kvello1,2, Charlotte Kristensen Knatten3, Kristin Bjørnland1,2
1Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Insights
Laparoscopic gastrostomy (LAPG) is safe with few major complications, though minor issues are common. Patients with neurological impairment experienced fewer LAPG complications, and operating times decreased over the study period.
Area of Science:
- Pediatric surgery
- Minimally invasive procedures
- Gastroenterology
Background:
- Laparoscopic gastrostomy (LAPG) is a growing alternative to traditional gastrostomy methods.
- Early postoperative complications and risk factors associated with LAPG require thorough evaluation.
Purpose of the Study:
- To assess early postoperative complications following LAPG in pediatric patients.
- To identify risk factors contributing to gastrostomy complications in this population.
Main Methods:
- Retrospective analysis of pediatric patients (<16 years) who underwent LAPG between 2005 and 2018.
- Complications were categorized as gastrostomy-related or general and graded using the Clavien-Dindo classification.
- Data on patient demographics, operative details, and outcomes were collected and analyzed.
Main Results:
- A total of 104 patients were included; 52% had neurological impairment (NI).
- 38% of patients experienced 53 gastrostomy-related complications, with most being minor (e.g., stoma infection, granulation tissue, tube dislodgement).
- Seven major complications required surgical intervention. NI patients had significantly fewer gastrostomy-related complications (22% vs. 46%, p=0.01).
Conclusions:
- LAPG is a safe procedure in pediatric patients, characterized by a low rate of severe complications but a high incidence of minor ones.
- Operating times for LAPG decreased over the study period.
- Neurological impairment was associated with a reduced risk of gastrostomy-related complications.
Introduction:
Laparoscopic gastrostomy (LAPG) is an increasingly popular alternative to more traditional gastrostomy techniques. This study evaluates early postoperative complications following LAPG and investigates risk factors for gastrostomy complications.
Materials And Methods:
Retrospective study of patients <16 years undergoing LAPG from 2005 to 2018. Early postoperative complications (<30 days) were grouped as gastrostomy-related or general and graded according to the Clavien-Dindo classification for surgical complications.
Results:
A total of 104 patients, of which 54 (52%) had neurological impairment (NI), were included. Median age and weight were 1.2 years (1 day-15.2 years) and 8.9 kg (3.4-36), respectively. Operating time was median 37 minutes (19-86) and shorter in the second half of the patients (46 vs. 35 minutes, p = 0.04). A total of 40 (38%) patients experienced 53 gastrostomy-related complications. Of these, seven complications needed surgical treatment; severe leakage (2), too short gastrostomy button (1), feeding difficulties (1), gastric outlet obstruction (1), omentum trapped in umbilical port sutures (1), and suspected fascial defect (1). Stoma infection and granulation tissue were reported in 13 and 12%, respectively. Tube dislodgement occurred in six patients and was managed with bedside reinsertion in all. Gastrostomy-related complications were less frequent in NI patients (46 vs 22%, p = 0.01).
Conclusion:
LAPG is a safe procedure with few major complications, but a high rate of minor complications. Operating time declined during the study period, and NI patients had fewer gastrostomy-related complications.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...