Laparoscopically assisted performance of gastrostomy--a simple, safe and minimal invasive technique.
We developed a new and simple technique for a gastrostomy, which combines the benefits of the laparoscopic and open approach: under visual control, the correct site at the gastric wall is defined laparoscopically and, via a second trocar, the stomach is pulled out onto the abdominal wall to insert a Kasper catheter and place the sutures. Evaluated in a rat model, this procedure demonstrates safety and surgical feasibility on the grounds of a minimal invasive access. The case report of a 1-year-old boy may also prove the clinical benefit.
Kellnar
S T
ST
Kinderchirurgische Klinik, Dr. von Haunerschen Kinderspital, Ludwig-Maximilians-Universität München, Germany.
Till
H
H
Bohn
R
R
D000818:Animals; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D051381:Rats