Research ArticleOpen Access

Blade-Directed Totally Laparoscopic Feeding Jejunostomy – How to do it

Volume 7 - Issue 1

**Chun Chih Lai, Chun Yi Tsai* and Chun Nan Yeh**

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- Department of General Surgery, Chang Gung Memorial Hospital, Taiwan
*Corresponding author: Chun-Yi Tsai, Assistant professor, Department of General Surgery, Chang Gung Memorial Hospital, Linkou branch, Taiwan,Chang Gung University, No.5, Fu Shing Street, Kweishan District, Taoyuan City, 333, Taiwan

Received: July 13, 2018; Published: July 23, 2018

DOI: 10.26717/BJSTR.2018.07.001457

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Abstract

Jejunostomy is the recommended route for enteral nutrition in certain patients. Various methods and equipment had been proposed to complete the operation laparoscopically. The method we proposed is based on the triangular rule of trocar orientation with typically available tube and equipment. It minimized the wounds to one 11mm trocar for the laparoscope plus two 5mm trocars for intracorporeal suturing, by creating the jejunostoma with straightforward surgical blade penetration. Sixty-nine patients underwent the operation as either a solitary procedure or a part of the operation based on preoperative indications. The majority of the patients received feeding within 3 day after operation (84%) without major complications. Fifteen patients experienced tube dislodgement or occlusion during the follow up but did not encounter difficulty while exchanging new tubes. The method we proposed could be done with readily available equipment and minimized wounds and did not yield major complications.

Keywords: Laparoscopic Feeding Jejunostomy; Minimally Invasive Surgery; Enteral Nutrition