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Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach
Author(s) -
Sayadi Shahraki Masoud,
Berjis Nezamoddin,
Bighamian Afshin,
Mahmoudieh Mohsen,
Shahabi Shahmiri Shahab,
Sheikhbahaei Erfan
Publication year - 2020
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12780
Subject(s) - medicine , percutaneous endoscopic gastrostomy , fibrous joint , gastrostomy , surgery , barbed suture , stomach , tube (container) , abdominal wall , fascia , laparoscopy , peg ratio , mechanical engineering , finance , gastroenterology , engineering , economics
Percutaneous endoscopic gastrostomy (PEG) is the most common way of inserting a gastrostomy tube. If PEG is not appropriate for a patient, then the laparoscopic or open technique should be used. Here, we introduce a new laparoscopic technique for inserting a gastrostomy tube. Material and Surgical Technique We used this new laparoscopic approach in 21 patients for whom PEG was not suitable. After marking on the abdominal skin and inserting the trocars, two 2‐0 silk sutures were passed. Two stitches were placed 2 cm apart in the stomach with one hand. Each suture was pulled out with the fascia closure, the stomach was pulled out with a Babcock, and a purse‐string suture using a round 2‐0 silk suture was placed outside the stomach, creating a mushroom‐retained gastrostomy. Conclusion This new laparoscopic technique is minimally invasive. It provides full control through only two trocars and required smaller incisions than common laparoscopic approaches. This method can be used to insert a gastrostomy tube in indicated patients when PEG placement is not suitable.