BACKGROUND AND AIMS: The aim of this report is to describe a method for laparoscopy aided button gastrostomy in children. MATERIAL AND METHODS: The method includes the use of two ports, one umbilical and one subcostal on the left side. The stomach is exteriorized using a grasping forceps in the subcostal port. Under direct vision the gastrostomy button, MIC-KEY, is inserted into the stomach at the lesser curvature and secured by purse string sutures. The stomach is attached to the anterior abdominal wall. RESULTS: The results show that this method has been successfully used in 33 children without operative complications. CONCLUSIONS: We conclude that by inserting the gastrostomy button under direct vision, damage to other abdominal organs is avoided and a correct placement at the lesser curvature obtained. The combination of laparoscopic and open procedures makes the method easy and safe.
BACKGROUND AND AIMS: The aim of this report is to describe a method for laparoscopy aided button gastrostomy in children. MATERIAL AND METHODS: The method includes the use of two ports, one umbilical and one subcostal on the left side. The stomach is exteriorized using a grasping forceps in the subcostal port. Under direct vision the gastrostomy button, MIC-KEY, is inserted into the stomach at the lesser curvature and secured by purse string sutures. The stomach is attached to the anterior abdominal wall. RESULTS: The results show that this method has been successfully used in 33 children without operative complications. CONCLUSIONS: We conclude that by inserting the gastrostomy button under direct vision, damage to other abdominal organs is avoided and a correct placement at the lesser curvature obtained. The combination of laparoscopic and open procedures makes the method easy and safe.
Authors: Einar Arnbjörnsson; Torbjörn Backman; Yvonne Berglund; Carl Magnus Kullendorff Journal: Pediatr Surg Int Date: 2005-10-21 Impact factor: 1.827
Authors: Martin Salö; Ana Santimano; Sofia Helmroth; Pernilla Stenström; Einar Ólafur Arnbjornsson Journal: Pediatr Surg Int Date: 2016-11-02 Impact factor: 1.827