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Laparoscopy aided gastrostomy in children
L Andersson1, C Mikaelsson, E Arnbjörnsson
1Department of Paediatric Surgery, University Hospital, Lund, Sweden.
Background And Aims:
The aim of this report is to describe a method for laparoscopy aided button gastrostomy in children.
Material And Methods:
The method includes the use of two ports, one umbilical and one subcostal on the left side. The stomach is exteriorized using a grasping forceps in the subcostal port. Under direct vision the gastrostomy button, MIC-KEY, is inserted into the stomach at the lesser curvature and secured by purse string sutures. The stomach is attached to the anterior abdominal wall.
Results:
The results show that this method has been successfully used in 33 children without operative complications.
Conclusions:
We conclude that by inserting the gastrostomy button under direct vision, damage to other abdominal organs is avoided and a correct placement at the lesser curvature obtained. The combination of laparoscopic and open procedures makes the method easy and safe.