[The Janeway laparoscopic gastrostomy in palliative surgery].
For the creation of a gastrostomy percutaneous endoscopic technique should be the method of first choice. If impossible a laparoscopic procedure should be preferred to a conventional one. Laparoscopic Janeway-gastrostomy might have some advantages compared to Kader-Stamm-Fistulas. We present the results with this method which we have used since 1993 in 12 patients. The postoperative course of these patients with mainly malignant diseases of ENT (n = 4), esophagus (n = 3) and thyroid gland (n = 3) as well as two non-malignant underlying diseases is presented and discussed in the light of recent publications. The Janeway-gastrostomy is an effective, easily feasable and safe procedure that ensures a good palliation also due to easy handling and care.
Strauss
T
T
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Universität München.
Meyer
G
G
Rau
H G
HG
Schardey
H M
HM
Schildberg
F W
FW
D000368:Aged; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D020706:Laparoscopes; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D015996:Survival Rate; D013964:Thyroid Neoplasms / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome
Die laparoskopische Gastrostomie nach Janeway in der palliativen Chirurgie.