| Autor: |
E, Arnal, E J, Voiglio, M, Robert, V, Schreiber, P, Ceruze, J-L, Caillot |
| Jazyk: |
francouzština |
| Rok vydání: |
2005 |
| Předmět: |
|
| Zdroj: |
Annales de chirurgie. 130(10) |
| ISSN: |
0003-3944 |
| Popis: |
Laparoscopic gastrostomy according to Janeway (LGJ) is an alternative to percutaneous gastrostomy techniques.A series of 10 LGJ is reported. The laparoscopic technique involves an isoperistaltic tube of 6-7 cm of length and 10-12 mm of diameter is created by 2 applications of linear stapling and cutting device. The tube is led out, opened and fixed to the fascial and cutaneous planes and a Foley catheter is inserted.Mean operation time was 35 minutes. There was no complication. The LGJ was indicated in 9 patients with tumour of the pharynx and 1 patient with encephalopathy.The main drawback of the LGJ is the need of general anaesthesia. The main advantage is the creation by minimal invasive surgery of a permanent gastrostomy equipped with a removable catheter easily changeable by non specialized health professionals, and even by the patient himself. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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