Hsin-I Tsai1,2,3, Ta-Chun Chou4, Ming-Chin Yu2,3,5,6, Chun-Nan Yeh2,5, Meng-Ting Peng7, Chia-Hsun Hsieh2,7,8, Po-Jung Su2,7,9, Chiao-En Wu2,7, Yung-Chia Kuo2,3,7, Chien-Chih Chiu10, Chao-Wei Lee11,12,13. 1. Department of Anesthesiology, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan, Republic of China. 2. College of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China. 3. Graduate Institute of Clinical Medical Sciences, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China. 4. Department of Surgery, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan, Republic of China. 5. Division of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, No.5, Fuxing St., Guishan Dist., Taoyuan, 33305, Taiwan, Republic of China. 6. Department of Surgery, New Taipei Municipal Tu-Cheng Hospital (Built and Operated By Chang Gung Medical Foundation), Tu-Cheng, New Taipei City, Taiwan, Republic of China. 7. Department of Hematology-Oncology, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan, Republic of China. 8. Division of Hematology and Oncology, Department of Internal Medicine, New Taipei Municipal Tu-Cheng Hospital (Built and Operated by Chang Gung Medical Foundation), Tu-Cheng, New Taipei City, Taiwan, Republic of China. 9. Graduate Institute of Data Science, Taipei Medical University, Taipei, Taiwan, Republic of China. 10. Department of Nursing, Chang Gung Memorial Hospital, Linkou Medical Center, Guishan, Taoyuan, Taiwan, Republic of China. 11. College of Medicine, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China. alanchaoweilee@hotmail.com. 12. Graduate Institute of Clinical Medical Sciences, Chang Gung University, Guishan, Taoyuan, Taiwan, Republic of China. alanchaoweilee@hotmail.com. 13. Division of General Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, No.5, Fuxing St., Guishan Dist., Taoyuan, 33305, Taiwan, Republic of China. alanchaoweilee@hotmail.com.
Abstract
BACKGROUND: Laparoscopic procedure has inherent merits of smaller incisions, better cosmesis, less postoperative pain, and earlier recovery. In the current study, we presented our method of purely laparoscopic feeding jejunostomy and compared its results with that of conventional open approach. METHODS: We retrospectively reviewed our patients from 2012 to 2019 who had received either laparoscopic jejunostomy (LJ, n = 29) or open ones (OJ, n = 94) in Chang Gung Memorial Hospital, Linkou. Peri-operative data and postoperative outcomes were analyzed. RESULTS: In the current study, we employed 3-0 Vicryl, instead of V-loc barbed sutures, for laparoscopic jejunostomy. The mean operative duration of LJ group was about 30 min longer than the OJ group (159 ± 57.2 mins vs 128 ± 34.6 mins; P = 0.001). There were no intraoperative complications reported in both groups. The patients in the LJ group suffered significantly less postoperative pain than in the OJ group (mean NRS 2.03 ± 0.9 vs. 2.79 ± 1.2; P = 0.002). The majority of patients in both groups received early enteral nutrition (< 48 h) after the operation (86.2% vs. 74.5%; P = 0.143). CONCLUSIONS: Our study demonstrated that purely laparoscopic feeding jejunostomy is a safe and feasible procedure with less postoperative pain and excellent postoperative outcome. It also provides surgeons opportunities to enhance intracorporeal suture techniques.
BACKGROUND: Laparoscopic procedure has inherent merits of smaller incisions, better cosmesis, less postoperative pain, and earlier recovery. In the current study, we presented our method of purely laparoscopic feeding jejunostomy and compared its results with that of conventional open approach. METHODS: We retrospectively reviewed our patients from 2012 to 2019 who had received either laparoscopic jejunostomy (LJ, n = 29) or open ones (OJ, n = 94) in Chang Gung Memorial Hospital, Linkou. Peri-operative data and postoperative outcomes were analyzed. RESULTS: In the current study, we employed 3-0 Vicryl, instead of V-loc barbed sutures, for laparoscopic jejunostomy. The mean operative duration of LJ group was about 30 min longer than the OJ group (159 ± 57.2 mins vs 128 ± 34.6 mins; P = 0.001). There were no intraoperative complications reported in both groups. The patients in the LJ group suffered significantly less postoperative pain than in the OJ group (mean NRS 2.03 ± 0.9 vs. 2.79 ± 1.2; P = 0.002). The majority of patients in both groups received early enteral nutrition (< 48 h) after the operation (86.2% vs. 74.5%; P = 0.143). CONCLUSIONS: Our study demonstrated that purely laparoscopic feeding jejunostomy is a safe and feasible procedure with less postoperative pain and excellent postoperative outcome. It also provides surgeons opportunities to enhance intracorporeal suture techniques.
Authors: Q Y Duh; A L Senokozlieff-Englehart; A E Siperstein; J Pearl; J P Grant; P L Twomey; T R Gadacz; R A Prinz; B M Wolfe; N J Soper Journal: West J Med Date: 1995-02
Authors: Maciej Bobowicz; Wojciech Makarewicz; Tomasz Polec; Arkadiusz Kopiejć; Tomasz Jastrzębski; Jacek Zieliński; Janusz Jaśkiewicz Journal: Wideochir Inne Tech Maloinwazyjne Date: 2011-12-20 Impact factor: 1.195