Laparoscopic gastrostomy using T-fasteners as retractors and anchors
| Autor: | Quan-Yang Duh, L. W. Way |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Laparoscopic gastrostomy medicine.medical_treatment Lumen (anatomy) Laparotomy medicine Humans Laparoscopy Aged Gastrostomy medicine.diagnostic_test business.industry Suture Techniques Balloon catheter Middle Aged Surgical Instruments Surgery Endoscopy Radiology business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 7:60-63 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Most feeding or venting gastrostomies can be placed percutaneously via gastroscopy. Laparotomy is required if gastroscopy is not possible--for example, in patients with esophageal strictures or large tumors. We have developed a new technique of laparoscopic gastrostomy, and used it successfully in three patients. The key to this technique is the T-fastener, a nylon suture attached to a metal T-bar, which is introduced via a slotted needle percutaneously and dislodged inside the stomach lumen. Four T-fasteners secure the stomach wall to the anterior abdomen. A balloon catheter gastrostomy tube is then placed over a J-wire through the center of these T-fasteners. This technique requires no gastroscopy or intracorporeal suturing and needs only one port for the laparoscope. It is safe and simple and can be used for patients who require a gastrostomy in whom gastroscopy is not possible or is risky. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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