Senkal M, Bauer K H, Kemen M, Zumtobel V
Chirurgische Klinik, Ruhruniversität, St. Josef Hospital, Bochum.
Zentralbl Chir. 1998;123(11):1306-8.
Gastrostomy or jejunostomy allow a safe and effective long-term enteral nutritional support. In patients with stenosis of the upper gastrointestinal tract the percutaneous endoscopic route is frequently not feasible. In these cases a laparoscopic approach is proposed. In 18 patients (n = 18) mostly with recurrent tumors of the upper gastrointestinal tract a laparoscopic catheter was placed into the jejunum without complications. Enteral feeding was started on the first day after catheter placement. One patient experienced a cathetersite infection. We describe a modified technique of laparoscopic jejunostomy the placement which is easy, effective and less invasive.
胃造口术或空肠造口术可提供安全有效的长期肠内营养支持。对于上消化道狭窄的患者，经皮内镜途径通常不可行。在这些情况下，建议采用腹腔镜手术方法。在18例主要患有上消化道复发性肿瘤的患者（n = 18）中，腹腔镜下将导管置入空肠，未发生并发症。导管置入后的第一天开始肠内喂养。1例患者发生了导管部位感染。我们描述了一种改良的腹腔镜空肠造口术技术，该技术操作简便、有效且侵入性较小。
