Laparoscopic vs. open feeding jejunostomy: a systemic review and meta-analysis

Area of Science:

• Surgical Innovation
• Gastroenterology
• Minimally Invasive Surgery

Background:

• Enteral nutrition is crucial for patient recovery.
• Feeding jejunostomy is a common method for nutritional support.
• The choice between laparoscopic and open surgical approaches remains debated.

Purpose of the Study:

• To systematically review and compare postoperative outcomes of laparoscopic versus open feeding jejunostomy.
• To determine the superiority of one surgical approach over the other.

Main Methods:

• Systematic review and meta-analysis of seven retrospective studies.
• Searched PubMed, Embase, and Scopus databases.
• Assessed risk of bias and certainty of evidence using ROBINS-I and GRADE.

Main Results:

• Laparoscopic jejunostomy showed a significantly lower overall complication rate (RR: 0.62; p=0.02).
• Excluding major concomitant procedures, the laparoscopic approach demonstrated superior outcomes (RR: 0.48; p<0.001).
• Low certainty of evidence was noted for both comparisons.

Conclusions:

• Laparoscopic feeding jejunostomy may lead to reduced postoperative complications.
• The findings suggest a potential benefit of the laparoscopic approach over open surgery.