2024-03-28T22:47:19Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00027022
2023-11-16T04:20:25Z
499:508:509:2328
A new laparoscopic triangle fixation technique for gastrostomy : a safe and effective procedure for reduction of the wound infection rate
Fujiogi, Michimasa
Tanaka, Yujiro
Amano, Hizuru
Deie, Kyoichi
Suzuki, Keisuke
Kawashima, Hiroshi
Murase, Naruhiko
Uchida, Hiroo
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
gastrostomy
laparoscopic fundoplication
surgical site infection
children
handicapped children
Gastrostomy is often performed with fundoplication in handicapped children. We devised a new laparoscopic triangle fixation technique for gastrostomy.
In this study, 100 patients underwent gastrostomy with fundoplication between January 2008 and January 2016. We retrospectively reviewed the early postoperative results between the new laparoscopic procedure (NLP) group (n = 63) and conventional procedure (CP) group (n = 37). In the CP, the gastrostomy tube was inserted with a purse-string ligature at the gastric wall, and the gastric wall was sutured to the peritoneum under a small laparotomy. In NLP, three sutures were placed on the gastric wall, forming the three sides of a triangle, and the tube was inserted into the center of the triangle. The ends of each suture were pulled directly through the abdominal wall using a laparoscopic percutaneous extraperitoneal closure needle to join the gastric wall and peritoneum. Both groups showed no significant differences in age, body weight, and external leakage rate. The wound infection rate was significantly lower in the NLP group. In conclusions, the NLP is straightforward and can achieve firm fixation between the stomach and abdominal wall by suturing in the form of a triangle. The NLP was associated with a lower complication rate, especially concerning infection.
Nagoya University Graduate School of Medicine, School of Medicine
2018-11
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.80.4.497
http://hdl.handle.net/2237/00029222
https://nagoya.repo.nii.ac.jp/records/27022
10.18999/nagjms.80.4.497
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/804.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
80
4
497
503
https://nagoya.repo.nii.ac.jp/record/27022/files/06_Fujiogi.pdf
application/pdf
2.0 MB