Ritz J P, Germer C T, Buhr H J
Department of General, Vascular and Thoracic Surgery, University Hospital Benjamin Franklin, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany.
Surg Endosc. 1998 Jun;12(6):894-7. doi: 10.1007/s004649900739.
Percutaneous endoscopic gastrostomy is not suitable for all patients requiring gastrostomies. Patients with endoscopically impassable tumors require a safe and effective alternative procedure for paraesophageal alimentation. We present the surgical technique and results of the laparoscopic gastrostomy according to Janeway. Using an endoscopic stapling device a gastric tube is created from a stomach fold, led out through the trocar site, and fixed to the skin in the left upper quadrant. Via an inserted catheter enteral alimentation can be performed intermittently since the gastrostoma is continent. Between July 1995 and November 1996 laparoscopic gastrostomy was performed in 15 patients (10 male, five female) with tumors in the pharynx or esophagus. Mean operation time was 35 min. One stoma necrosis developed; the other postoperative courses were complication-free. All gastrostomies were continent. Laparoscopic gastrostomy is easy to perform and involves minimal discomfort and complications for the patient.
经皮内镜下胃造口术并不适用于所有需要胃造口的患者。内镜检查显示肿瘤无法通过的患者需要一种安全有效的替代方法来进行食管旁营养供给。我们介绍了根据詹韦法进行腹腔镜胃造口术的手术技术及结果。使用内镜吻合器从胃皱襞制作胃管，经套管针穿刺部位引出，并固定于左上腹皮肤。由于胃造口是封闭的，通过插入的导管可间歇性进行肠内营养。1995年7月至1996年11月，对15例（男10例，女5例）患有咽部或食管肿瘤的患者实施了腹腔镜胃造口术。平均手术时间为35分钟。发生了1例造口坏死；其他患者术后过程无并发症。所有胃造口均为封闭性的。腹腔镜胃造口术操作简便，给患者带来的不适和并发症极少。
