Single Port Laparoscopic Gastrostomy: description of a technique and initial experience
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| Format: | Artículo científico |
| Sprache: | en |
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Sociedad Argentina de Gastroenterología
2015
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| _version_ | 1876480770027028480 |
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| author | Mariano Palermo |
| author_facet | Mariano Palermo |
| contents | Single Port Laparoscopic Gastrostomy: description of a technique and initial experience Mariano Palermo Mario Luis Domínguez Pablo Acquafresca Guillermo Duza Mariano Giménez Medicina Gastrostomy laparoscopy novel techniques Introduction.Since the first classic descriptions of sur-gical gastrostomies for feeding by supra-umbilical medialincisions, patients were operated under general anesthesia,with prolonged time of surgery; these were patients in poorhealth status, undernourished due to inadequate intake orto neurological or tumor involvement, with prolonged hos-pitalization, both for the recovery of the intestinal motilityas well as for the recovery of post-surgical wounds. Therefore,we describe a new minimally invasive technique as an al-ternative to the percutaneous or endoscopic gastrostomy, inpatients where we are not allowed to place a nasogastric tubeto insufflate the stomach. This is mostly seen in patients withtumors, which cause obstruction.Material and methods.Between July 2012 and June 2013, 8 patients underwenta single port laparoscopic gastrostomy. Five were females,mean age: 77 years (range: 67-87). In all the patients, itwas impossible to place a nasogastric tube, due to obstruc-tive tumor.Results.The mean time of the procedure was45 minutes. Seven patients underwent tolerance of dextrose10% through the catheter after 12 hours and one 24 hoursafter the procedures. Enteral feeding was indicated after thedextrose 10% tolerance was performed. No complications re-lated to the procedure were observed.Discussion.Currently,the gold standard technique to perform a gastrostomy is thepercutaneous or endoscopic approach. In patients with headand neck tumors, when it is not possible to insert a nasogas-tric tube to insufflate the stomach, a laparoscopic gastrostomywould be indicated. We describe a new technique, step bystep, to perform less invasive laparoscopic surgery by a singleport laparoscopic gastrostomy.Conclusion.The diametercreated is the same as the one performed with an open tech-nique, but in this case, with a minimally invasive approach,that allows us to start feeding the patient with a high qualityof feeding, because of the wider lumen. 2015 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199343433003 en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.4 Vol.45 |
| format | Artículo científico |
| id | redalyc_199343433003 |
| institution | Redalyc |
| language | en |
| publishDate | 2015 |
| publisher | Sociedad Argentina de Gastroenterología |
| spellingShingle | Single Port Laparoscopic Gastrostomy: description of a technique and initial experience Mariano Palermo Medicina Gastrostomy laparoscopy novel techniques Single Port Laparoscopic Gastrostomy: description of a technique and initial experience Mariano Palermo Mario Luis Domínguez Pablo Acquafresca Guillermo Duza Mariano Giménez Medicina Gastrostomy laparoscopy novel techniques Introduction.Since the first classic descriptions of sur-gical gastrostomies for feeding by supra-umbilical medialincisions, patients were operated under general anesthesia,with prolonged time of surgery; these were patients in poorhealth status, undernourished due to inadequate intake orto neurological or tumor involvement, with prolonged hos-pitalization, both for the recovery of the intestinal motilityas well as for the recovery of post-surgical wounds. Therefore,we describe a new minimally invasive technique as an al-ternative to the percutaneous or endoscopic gastrostomy, inpatients where we are not allowed to place a nasogastric tubeto insufflate the stomach. This is mostly seen in patients withtumors, which cause obstruction.Material and methods.Between July 2012 and June 2013, 8 patients underwenta single port laparoscopic gastrostomy. Five were females,mean age: 77 years (range: 67-87). In all the patients, itwas impossible to place a nasogastric tube, due to obstruc-tive tumor.Results.The mean time of the procedure was45 minutes. Seven patients underwent tolerance of dextrose10% through the catheter after 12 hours and one 24 hoursafter the procedures. Enteral feeding was indicated after thedextrose 10% tolerance was performed. No complications re-lated to the procedure were observed.Discussion.Currently,the gold standard technique to perform a gastrostomy is thepercutaneous or endoscopic approach. In patients with headand neck tumors, when it is not possible to insert a nasogas-tric tube to insufflate the stomach, a laparoscopic gastrostomywould be indicated. We describe a new technique, step bystep, to perform less invasive laparoscopic surgery by a singleport laparoscopic gastrostomy.Conclusion.The diametercreated is the same as the one performed with an open tech-nique, but in this case, with a minimally invasive approach,that allows us to start feeding the patient with a high qualityof feeding, because of the wider lumen. 2015 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199343433003 en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.4 Vol.45 |
| title | Single Port Laparoscopic Gastrostomy: description of a technique and initial experience |
| topic | Medicina Gastrostomy laparoscopy novel techniques |
| url | https://www.redalyc.org/articulo.oa?id=199343433003 |