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[The Janeway laparoscopic gastrostomy in palliative surgery]
1Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Universität München.
Zentralblatt Fur Chirurgie
|December 16, 1998
Summary
Percutaneous endoscopic gastrostomy is preferred, but laparoscopic Janeway-gastrostomy offers a safe and effective alternative for palliation in patients with ENT, esophageal, or thyroid diseases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Context:
- Percutaneous endoscopic gastrostomy (PEG) is the primary method for gastrostomy creation.
- Laparoscopic procedures are preferred over conventional open surgery when PEG is not feasible.
- Laparoscopic Janeway-gastrostomy presents potential advantages over Kader-Stamm-Fistulas.
Purpose:
- To present the outcomes of laparoscopic Janeway-gastrostomy.
- To evaluate the safety, feasibility, and palliative efficacy of this technique.
- To discuss the findings in the context of existing literature.
Summary:
- The laparoscopic Janeway-gastrostomy was performed on 12 patients, primarily those with malignant conditions of the ENT, esophagus, and thyroid, along with two non-malignant cases.
- The postoperative course was analyzed, highlighting the procedure's effectiveness.
- The Janeway-gastrostomy demonstrated ease of performance, handling, and care, contributing to good patient palliation.
Impact:
- Laparoscopic Janeway-gastrostomy is an effective, feasible, and safe palliative procedure.
- The technique offers benefits in patient care and management, particularly for those with complex conditions.
- This study supports the use of laparoscopic Janeway-gastrostomy as a valuable option in gastrostomy creation.