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Related Experiment Videos

Laparoscopic gastrostomy: a safe method for obtaining enteral access

K M Murayama1, P D Schneider, J S Thompson

  • 1University of Nebraska Medical Center, Omaha Veterans Affairs Hospital 68198-3280.

The Journal of Surgical Research
|January 1, 1995
PubMed
Summary

Laparoscopic gastrostomy offers a safe and effective method for long-term enteral access, showing shorter operative times and comparable safety to open surgical gastrostomy. This minimally invasive approach is particularly beneficial for patients unsuitable for upper endoscopy.

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Area of Science:

  • Minimally Invasive Surgery
  • Gastroenterology
  • Surgical Procedures

Background:

  • Laparoscopic gastrostomy allows direct visualization without laparotomy.
  • Its role in enteral access requires definition.
  • Comparison with open surgical gastrostomy is needed.

Purpose of the Study:

  • To compare laparoscopic gastrostomy with open surgical gastrostomy.
  • To determine the effectiveness and safety of laparoscopic gastrostomy for long-term enteral access.

Main Methods:

  • Retrospective review of 32 laparoscopic gastrostomy patients (Group I) and 37 open gastrostomy patients (Group II).
  • Comparison of indications, operative time, morbidity, and mortality rates.
  • Focus on patients not candidates for upper endoscopy.

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Main Results:

  • Laparoscopic gastrostomy operative time was significantly shorter (38 +/- 7 min) than open gastrostomy (62 +/- 19 min), P < 0.0001.
  • Major complication rates were 6% for laparoscopic and 11% for open gastrostomy.
  • No procedure-related mortality in the laparoscopic group versus three in the open group; overall major morbidity/mortality not significantly different.

Conclusions:

  • Laparoscopic gastrostomy is a safe and effective alternative to open gastrostomy.
  • It is particularly advantageous for patients unable to undergo upper endoscopy.
  • Consideration for patients undergoing concomitant laparoscopic procedures is recommended.