Video-Assisted Jejunostomy Tube Placement With Two Portals: Surgical Technique in Ten Steps. (August 2021)

• Record Type: Journal Article
• Authors: Abreu, Phillipe; Ferreira, Raphaella; Mineli, Victor; Bussyguin, Danilo S.; Dantas, Luiz B.; Szutan, Luiz A.; Preti, Vinicius B.; Vianna, Rodrigo M.; Tomasich, Flavio D. S.
• Is Part Of: Surgical innovation. Volume 28:Number 4(2021)
• Page Start: 403
• Page End: 408
• Publication Date: 2021-08
• Subjects: jejunostomy -- video-assisted technique -- surgical technique; Surgery, Operative -- Periodicals; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Diffusion of Innovation -- Periodicals; Chirurgie opératoire -- Périodiques; Chirurgie endoscopique -- Périodiques; Chirurgie laparoscopique -- Périodiques; 617.91
• DOI: 10.1177/1553350620984328
• Languages: English
• ISSNs: 1553-3506

Abstract

Objectives . Endoscopic gastrostomy occasionally presents limitations such as costs, availability of equipment and special materials, and difficult access to the gastric cavity in the setting of obstructive esophageal tumors. Open jejunostomies present high rates of postoperative complications and limited capacity for abdominal evaluation due to reduced incision size. Thus, to reduce procedure-related complications and overall costs and provide a thorough intraoperative evaluation of the peritoneal cavity, we present the following simplified technique. Methods . Video-assisted jejunostomy in ten steps. Results . The use of this Video-assisted laparoscopic technique proves to be a safe, viable alternative, with cost reduction, decreased use of disposable materials, shortened operative time, and accelerated recovery, in addition to increased technical ease and wide applicability across a variety of hospital settings.