First results of laparoscopic gastrostomy |
| |
Authors: | K Peitgen M K Walz U Krause F W Eigler |
| |
Institution: | Department of General Surgery, University of Essen, Hufelandstra?e 55, D-45122 Essen, Germany
|
| |
Abstract: | Background: Laparoscopic gastrostomy as an alternative to open gastrostomy was introduced with various technical variants 5 years ago.
However, long-term results of these new methods are still lacking.
Methods: From 4/1993 to 2/1996, laparoscopic gastrostomies were performed on 42 patients (50.9 ± 15.6 24–71] years) with esophageal
stenosis in locally advanced hypopharyngeal (17 patients) or oropharyngeal (nine patients) carcinoma, incurable esophageal
carcinoma (13 patients) and cerebral dyspagia (three patients). Operating time was 38 ± 11 min 15–65 min]. Procedure-related
mortality was 0%. Major complications occurred in 2/42 (4.7%) patients; minor complications were found in 4/42 (9.4%) patients.
During a total usage time of 427 months, 14 stoma infections occurred (0.11 infections/100 days).
Conclusion: Laparoscopic gastrostomy allows a safe, fast, and cheap reestablishment of enteral nutrition. The procedure is minimally
invasive and can also be performed under local anesthesia. It has become our method of choice in patients with malignant,
nonresectable subtotal stenosis of the hypopharynx or esophagus.
Received: 5 March 1996/Accepted: 31 July 1996 |
| |
Keywords: | : Laparoscopy — Gastrostomy — Enteral nutrition |
本文献已被 SpringerLink 等数据库收录! |
|