A simplified laparoscopic technique for enteral access in cancer patients.
OBJECTIVE
A feeding jejunostomy may be required for cancer patients who have obstructed upper gastrointestinal tract. Numerous minimally invasive techniques have been described for laparoscopic enteral access. We presented here a simple technique for laparoscopic jejunostomy that requires only two ports and no specialized tools.


METHODS
Seven patients with laryngeal and foregut tumors underwent laparoscopic feeding jejunostomy. Briefly, umbilical port houses the camera and a second port placed at the proposed jejunostomy site are used to identify the appropriate segment of jejunum and exteriorize through the port opening. After jejunostomy a catheter is placed in the usual fashion, intestine segment is returned to the abdomen, then the jejunostomy site is secured to fascia edges by several non-absorbable sutures. Operative time and postoperative complications were evaluated.


RESULTS
All patients tolerated the procedure well. Average operative time was 35 min. The only complication seen after the procedure was minor skin extrusion in two patients.


CONCLUSIONS
This technique appears as a minimally invasive, safe, quick and easily applicable method for enteral access in selected patients.
Düzgün
Sükrü Aydin
SA
Harran University, School of Medicine, Department of Surgery, Sanliurfa, Turkey. saduzgun@ixir.com
Bozer
Mikdat
M
Coskun
Ali
A
San
Imran
I
Uzunkoy
Ali
A
Akinci
Omer Faruk
OF
Canbeyli
Bahattin
B
D000328:Adult; D004750:Enteral Nutrition / Q000379:methods*; D004938:Esophageal Neoplasms / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D007822:Laryngeal Neoplasms / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D013274:Stomach Neoplasms / Q000628:therapy