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Çocuklarda Tek Kesi Laparoskopik ve Açık Yaklaşım Gastrostomi Yöntemlerinin Karşılaştırılması

Year 2020, Volume: 22 Issue: 3, 207 - 211, 30.12.2020

Murat Kabaklıoğlu Murat Kaya

https://doi.org/10.18678/dtfd.790415

Abstract

Amaç: Bu çalışmanın amacı çocuklarda tek insizyonlu laparoskopik gastrostomi (single incision laparoscopic gastrostomy, SILG) ile açık cerrahinin karşılaştırılmasıdır.
Gereç ve Yöntemler: Ocak 2016 ve Mart 2020 tarihleri arasında laparoskopik ve açık gastrostomi ameliyatı geçiren çocuklar geriye dönük olarak değerlendirildi. Veriler hastanın demografik özelliklerine, ameliyat ve anestezi süresine, enteral beslenmeye başlama zamanına ve komplikasyonlara göre düzenlendi. Stamm prosedürü için, üst orta hat kesiği ile karın eksplore edildi ve ikinci bir kesiden mide tüpü geçirildi. SILG yönteminde sadece bir kesi yapıldı. Bir trokar içine bir kamera yerleştirildikten sonra, trokarın hemen yanına bir yakalayıcı yerleştirildi. Kesiden midenin bir kısmı çıkarıldı. Lümen içerisine görsel olarak bir foley kateter yerleştirildi.
Bulgular: Her iki cerrahi grup için ameliyat süreleri arasında istatistiksel olarak anlamlı fark yoktu (p=0,844); aynı durum anestezi süreleri için de geçerliydi (p=0,919). Tam enteral beslenmeye başlama ve ulaşma süresi iki grup arasında önemli ölçüde farklılık gösterdi (p=0,005). Genel olarak tüm komplikasyonlar değerlendirildiğinde açık cerrahi grubunda daha fazla komplikasyon saptandı (p=0,077) Her iki grupta da dikkat çekici sayıda (%65,6) idame problemi görüldü.
Sonuç: SILG, teknik olarak zorlayıcı olmayan ve laparoskopi deneyimi olan herhangi bir çocuk cerrahı tarafından uygulanabilen bir tekniktir. Trokar giriş yerinde primer laparoskopik gastrostomi, düşük postoperatif komplikasyon oranları nedeniyle malnütrisyonlu tüm çocuklarda kolay ve güvenli bir şekilde yapılabilir ve her yaştaki çocuklara uygulanabilir.

Keywords

Tek Kesi Laparoskopik Gastrostomi Stamm Gastrostomi çocuk

References

  • er C, Aschl G, Hébuterne X, Mathus-Vliegen EM, Muscaritoli M, Niv Y, et al. ESPEN guidelines on artificial enteral nutrition--percutaneous endoscopic gastrostomy (PEG). Clin Nutr. 2005;24(5):848-61.
  • Baker L, Beres AL, Baird R. A systematic review and meta-analysis of gastrostomy insertion techniques in children. J Pediatr Surg. 2015;50(5):718-25.
  • Stamm M. Gastrostomy by a new method. Med News. 1894;65:324-6.
  • Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15(6):872-5.
  • Edelman DS, Unger SW, Russin DR. Laparoscopic gastrostomy. Surg Laparosc Endosc. 1991;1(4):251-3.
  • Kaya M, Sancar S, Ozcakir E. A new method for laparoscopic Stamm gastrostomy. J Laparoendosc Adv Surg Tech A. 2018;28(1):111-5.
  • Sayadi Shahraki M, Berjis N, Bighamian A, Mahmoudieh M, Shahabi Shahmiri S, Sheikhbahaei E. Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach. Asian J Endosc Surg. 2020;13(4):610-3.
  • Akay B, Capizzani TR, Lee AM, Drongowski RA, Geiger JD, Hirschl RB, et al. Gastrostomy tube placement in infants and children: is there a preferred technique? J Pediatr Surg. 2010;45(6):1147-52.
  • Sandberg F, Viktorsdóttir MB, Salö M, Stenström P, Arnbjörnsson E. Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis. Pediatr Surg Int. 2018;34(12):1321-7.
  • Sulkowski JP, De Roo AC, Nielsen J, Ambeba E, Cooper JN, Hogan MJ, et al. A comparison of pediatric gastrostomy tube placement techniques. Pediatr Surg Int. 2016;32(3):269-75.
  • Sano N, Yamamoto M, Nagai K, Yamada K, Ohkohchi N. Nasogastric tube syndrome induced by an indwelling long intestinal tube. World J Gastroenterol. 2016;22(15):4057-61.
  • Merli L, De Marco EA, Fedele C, Mason EJ, Taddei A, Paradiso FV, et al. Gastrostomy placement in children: percutaneous endoscopic gastrostomy or laparoscopic gastrostomy? Surg Laparosc Endosc Percutan Tech. 2016;26(5):381-4.
  • Hansen EN, Muensterer OJ, Georgeson KE, Harmon CM. Single-incision pediatric endosurgery: lessons learned from our first 224 laparoendoscopic single-site procedures in children. Pediatr Surg Int. 2011;27(6):643-8.
  • Kandil E, Alabbas H, Jacob C, Friedlander P, Duchesne J, Joshi V, et al. A simple and safe minimally invasive technique for laparoscopic gastrostomy. JSLS. 2010;14(1):62-5.
  • Mizrahi I, Garg M, Divino CM, Nguyen S. Comparison of laparoscopic versus open approach to gastrostomy tubes. JSLS. 2014;18(1):28-33.
  • Peters RT, Balduyck B, Nour S. Gastrostomy complications in infants and children: a comparative study. Pediatr Surg Int. 2010;26(7):707-9.

Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children

Year 2020, Volume: 22 Issue: 3, 207 - 211, 30.12.2020

Murat Kabaklıoğlu Murat Kaya

https://doi.org/10.18678/dtfd.790415

Abstract

Aim: The aim of this study was to compare single incision laparoscopic gastrostomy (SILG) with open surgery in children.
Material and Methods: Children who underwent laparoscopic and open gastrostomy surgeries between January 2016 and March 2020 were retrospectively evaluated. The data were arranged according to the patient's demographics, duration of surgery and anesthesia, time to start enteral feeding, and complications. For Stamm procedure, the abdomen was explored with an upper midline incision and a gastric tube was passed through a second incision. In the SILG method, only one incision was made. After inserting a camera was placed into a trocar, then a grasper was placed just next to the trocar. A part of stomach was removed through the incision. A foley catheter was placed visually into the lumen.
Results: There was no statistically significant difference between operation times for both surgical groups (p=0.844); the same was true for anesthesia times (p=0.919). The time taken to initiate and reach full enteral nutrition differed significantly between two groups (p=0.005). In general, when all complications were evaluated, more complications were found in the open surgery group (p=0.077). A remarkable number of maintenance problems (65.6%) were observed in both groups.
Conclusion: SILG is a technique that is not technically demanding and can be performed by any pediatric surgeon with experience in laparoscopy. Primary laparoscopic gastrostomy at the trocar insertion site can be performed easily and safely in all children with malnutrition due to low postoperative complication rates and applicable for all ages of children.

Keywords

Single Incision Laparoscopic Gastrostomy Stamm Gastrostomy children

References

  • er C, Aschl G, Hébuterne X, Mathus-Vliegen EM, Muscaritoli M, Niv Y, et al. ESPEN guidelines on artificial enteral nutrition--percutaneous endoscopic gastrostomy (PEG). Clin Nutr. 2005;24(5):848-61.
  • Baker L, Beres AL, Baird R. A systematic review and meta-analysis of gastrostomy insertion techniques in children. J Pediatr Surg. 2015;50(5):718-25.
  • Stamm M. Gastrostomy by a new method. Med News. 1894;65:324-6.
  • Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15(6):872-5.
  • Edelman DS, Unger SW, Russin DR. Laparoscopic gastrostomy. Surg Laparosc Endosc. 1991;1(4):251-3.
  • Kaya M, Sancar S, Ozcakir E. A new method for laparoscopic Stamm gastrostomy. J Laparoendosc Adv Surg Tech A. 2018;28(1):111-5.
  • Sayadi Shahraki M, Berjis N, Bighamian A, Mahmoudieh M, Shahabi Shahmiri S, Sheikhbahaei E. Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach. Asian J Endosc Surg. 2020;13(4):610-3.
  • Akay B, Capizzani TR, Lee AM, Drongowski RA, Geiger JD, Hirschl RB, et al. Gastrostomy tube placement in infants and children: is there a preferred technique? J Pediatr Surg. 2010;45(6):1147-52.
  • Sandberg F, Viktorsdóttir MB, Salö M, Stenström P, Arnbjörnsson E. Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis. Pediatr Surg Int. 2018;34(12):1321-7.
  • Sulkowski JP, De Roo AC, Nielsen J, Ambeba E, Cooper JN, Hogan MJ, et al. A comparison of pediatric gastrostomy tube placement techniques. Pediatr Surg Int. 2016;32(3):269-75.
  • Sano N, Yamamoto M, Nagai K, Yamada K, Ohkohchi N. Nasogastric tube syndrome induced by an indwelling long intestinal tube. World J Gastroenterol. 2016;22(15):4057-61.
  • Merli L, De Marco EA, Fedele C, Mason EJ, Taddei A, Paradiso FV, et al. Gastrostomy placement in children: percutaneous endoscopic gastrostomy or laparoscopic gastrostomy? Surg Laparosc Endosc Percutan Tech. 2016;26(5):381-4.
  • Hansen EN, Muensterer OJ, Georgeson KE, Harmon CM. Single-incision pediatric endosurgery: lessons learned from our first 224 laparoendoscopic single-site procedures in children. Pediatr Surg Int. 2011;27(6):643-8.
  • Kandil E, Alabbas H, Jacob C, Friedlander P, Duchesne J, Joshi V, et al. A simple and safe minimally invasive technique for laparoscopic gastrostomy. JSLS. 2010;14(1):62-5.
  • Mizrahi I, Garg M, Divino CM, Nguyen S. Comparison of laparoscopic versus open approach to gastrostomy tubes. JSLS. 2014;18(1):28-33.
  • Peters RT, Balduyck B, Nour S. Gastrostomy complications in infants and children: a comparative study. Pediatr Surg Int. 2010;26(7):707-9.
There are 16 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Murat Kabaklıoğlu 0000-0002-2894-0470

Murat Kaya 0000-0001-6650-0145

Publication Date December 30, 2020
Submission Date September 4, 2020
Published in Issue Year 2020 Volume: 22 Issue: 3

Cite

APA Kabaklıoğlu, M., & Kaya, M. (2020). Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children. Duzce Medical Journal, 22(3), 207-211. https://doi.org/10.18678/dtfd.790415
AMA Kabaklıoğlu M, Kaya M. Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children. Duzce Med J. December 2020;22(3):207-211. doi:10.18678/dtfd.790415
Chicago Kabaklıoğlu, Murat, and Murat Kaya. “Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children”. Duzce Medical Journal 22, no. 3 (December 2020): 207-11. https://doi.org/10.18678/dtfd.790415.
EndNote Kabaklıoğlu M, Kaya M (December 1, 2020) Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children. Duzce Medical Journal 22 3 207–211.
IEEE M. Kabaklıoğlu and M. Kaya, “Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children”, Duzce Med J, vol. 22, no. 3, pp. 207–211, 2020, doi: 10.18678/dtfd.790415.
ISNAD Kabaklıoğlu, Murat - Kaya, Murat. “Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children”. Duzce Medical Journal 22/3 (December 2020), 207-211. https://doi.org/10.18678/dtfd.790415.
JAMA Kabaklıoğlu M, Kaya M. Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children. Duzce Med J. 2020;22:207–211.
MLA Kabaklıoğlu, Murat and Murat Kaya. “Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children”. Duzce Medical Journal, vol. 22, no. 3, 2020, pp. 207-11, doi:10.18678/dtfd.790415.
Vancouver Kabaklıoğlu M, Kaya M. Comparison of Single Incision Laparoscopic and Classic Stamm Gastrostomy Methods in Children. Duzce Med J. 2020;22(3):207-11.
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