Autoadjustable Sutures and Modified Seldinger Technique Applied to Laparoscopic Jejunostomy

Abstract

This is a simple technique to be applied to those patients requiring an alternative feeding method. This technique has been successfully applied to 25 patients suffering from esophageal carcinoma. The procedure involves laparoscopic approach, suture of the selected intestinal loop to the abdominal wall and jejunostomy using Seldinger technique and autoadjustable sutures. No morbidity or mortality was reported.

Laparoscopic T-tube feeding jejunostomy as an adjunct to staging laparoscopy for upper gastrointestinal malignancies: the technique and review of outcomes

“…Previous abdominal surgery is not necessarily a contraindication.Jenkinson AD et al [17]43Part of the laparoscopic staging for esophagogastric cancerTotal laparoscopic using a 6-French infant feeding catheter (Vygon)Minor complications ( n  = 11, 25.6%): dislodgement ( n  = 5), blockage ( n  = 4) & connector breakage ( n  = 2). Major complications ( n  = 1, 2.3%): Dislodgement requiring laparoscopic replacement.NMA safe and simple technique that adds little to the morbidity and cost of managing patients with esophagogastric cancers.Pili D, et al [30]25Patients undergoing major surgery for esophageal cancerTotal laparoscopic using 8- French jejunostomy catheter kit.Minor complications ( n  = 3, 12.0%): chronic catheter occlusion ( n  = 2) & slippage ( n  = 1). No major complications.NMNo procedure related morbidity or mortality.…”

Two port video-assisted gastrostomy and jejunostomy: technical simplification and clinical results

“…It demands long period for implementation of the operative procedure. Furthermore, the technical procedure is very difficult in regard to the placement of the probe and probe fixation into loop, and also the intra-abdominal fixation particularly in jejunostomies, requiring great skill and training by professional team, being no longer simple intervention, requiring expertise in intra-abdominal sutures 11 , 15 , 21 . To alleviate the difficulties imposed by exclusively laparoscopic method, some authors have used T-shaped rods, which help the presentation of the jejunum or stomach, with better exposure to carrying out interventions.…”