1. Video-Assisted Jejunostomy Tube Placement With Two Portals: Surgical Technique in Ten Steps
- Author
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Phillipe Abreu, Luiz Arnaldo Szutan, Raphaella Ferreira, Vinicius Basso Preti, Victor Mineli, Rodrigo Vianna, Luiz B. Dantas, Flávio Daniel Saavedra Tomasich, and Danilo Saavedra Bussyguin
- Subjects
medicine.medical_specialty ,Esophageal Neoplasms ,medicine.medical_treatment ,Jejunostomy ,Gastric cavity ,03 medical and health sciences ,Peritoneal cavity ,0302 clinical medicine ,Enteral Nutrition ,medicine ,Limited capacity ,Humans ,Video assisted ,High rate ,Gastrostomy ,business.industry ,Surgery ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Tube placement ,Operative time ,030211 gastroenterology & hepatology ,Laparoscopy ,business - Abstract
Objectives. Endoscopic gastrostomy occasionally presents limitations such as costs, availability of equipment and special materials, and difficult access to the gastric cavity in the setting of obstructive esophageal tumors. Open jejunostomies present high rates of postoperative complications and limited capacity for abdominal evaluation due to reduced incision size. Thus, to reduce procedure-related complications and overall costs and provide a thorough intraoperative evaluation of the peritoneal cavity, we present the following simplified technique. Methods. Video-assisted jejunostomy in ten steps. Results. The use of this Video-assisted laparoscopic technique proves to be a safe, viable alternative, with cost reduction, decreased use of disposable materials, shortened operative time, and accelerated recovery, in addition to increased technical ease and wide applicability across a variety of hospital settings.
- Published
- 2021