Laparoscopy aided gastrostomy in children.
OBJECTIVE
The aim of this report is to describe a method for laparoscopy aided button gastrostomy in children.


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.
Andersson
L
L
Department of Paediatric Surgery, University Hospital, Lund, Sweden.
Mikaelsson
C
C
Arnbjörnsson
E
E
Larsson
L T
LT
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D007223:Infant; D020706:Laparoscopes; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011502:Protein-Energy Malnutrition / Q000209:etiology / Q000534:rehabilitation*