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Laparoscopic jejunostomy with an 18-mm trocar
R Gedaly1, P Briceño, R Ravelo
1Department of General Surgery, Hospital Universitario de Caracas, Venezuela.
Surgical Laparoscopy & Endoscopy
|February 12, 1998
Summary
This study details a laparoscopic jejunostomy technique for patients with severe neurological conditions. The minimally invasive approach proved effective for long-term enteral feeding, with excellent tolerance and minimal complications.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Surgical Techniques
Background:
- Enteral nutrition is crucial for patients with severe neurological conditions.
- Traditional jejunostomy placement can be challenging.
- Minimally invasive techniques offer potential advantages.
Purpose of the Study:
- To describe a laparoscopic technique for jejunostomy creation using an 18-mm trocar.
- To evaluate the efficacy and safety of this technique in patients with severe neurologic conditions.
- To present laparoscopic jejunostomy as an alternative for long-term postpyloric enteral feeding.
Main Methods:
- Laparoscopic jejunostomy performed in nine patients with severe neurologic conditions.
- Procedure involved exteriorization of proximal bowel and jejunostomy construction.
- Operative time ranged from 20 to 75 minutes (average 44.38 min).
Main Results:
- Excellent tolerance to enteral nutrition initiated 24 hours post-procedure.
- One case of minor leakage around the feeding tube, resolved after removal.
- Laparoscopy facilitated jejunostomy creation effectively.
Conclusions:
- Laparoscopic jejunostomy is an effective and safe minimally invasive technique.
- This approach is a viable alternative for patients requiring long-term postpyloric enteral feeding.
- The technique allows for efficient jejunostomy construction in neurologically impaired patients.