Microlaparoscopic-Assisted Gastrostomy in Children: Early Experiences with Our Technique

Abstract

In our opinion, MAG is a feasible, safe procedure in children. Technically, it is a simple method, particularly in cases where percutaneous tube placement is not feasible. It combines the advantages of microlaparoscopy and open surgery. It is easy to perform in children and allows a primary gastrostomy tube placement. Parents and nursing staff also seem satisfied.

A Microlaparoscopically Assisted Pull-Through Procedure for Hirschsprung's Disease: Initial Experiences

“…[12][13][14] Additionally, in the present feasibility study of microlaparoscopic colon dissection for HD, it was demonstrated that the microlaparoscopic approach could be successfully performed in cases of previous laparotomy, colostoma placement, and laparoscopy and in subjects after severe postpartal enterocolitis episodes. Microlaparoscopy is an attempt to further minimize the access trauma of laparoscopic procedures, and we suggest that downsizing the instruments and scopes used in pediatric surgery is beneficial for infants and children.…”

“…Since 2005, the microlaparoscopic approach was introduced at our department for various procedures, and it was successfully used instead of conventional laparoscopy in children. [12][13][14] After having gained experience in microlaparoscopy, in a prospective feasibility study, we began to perform the colon mobilization and dissection for HD using 2-mm instruments and miniscopes exclusively.…”

“…In 2005, a microlaparoscopic approach was introduced in our department for various procedures, and it has been successfully used instead of conventional laparoscopy in children. [12][13][14] The ultimate goal was to minimize access trauma, which was achieved by downsizing the instrument sets and scopes used in pediatric laparoscopy, adapting them to the body size and physiology of children and small infants.…”

Thoracoscopy in pediatrics: Surgical perspectives

“…However, in small children low pressure CO 2 insufflation should be sufficiently provided no desaturation occurs. [55]…”

Vias para Nutrição Artificial na Criança (I): Acessos Entéricos

“…Além disso, pode ser utilizada precocemente, geralmente após 6-24 horas, 2 embora seja considerada segura a administração praticamente imediata 17 ; a ocorrência de extravasamento também é significativamente menor que nas gastrostomias cirúrgicas 'clássicas'. 18 Contudo, estas vantagens esbatem-se face à colocação cirúrgica por laparoscopia, nomeadamente por ser viável realizar a gastrostomia, com colocação imediata de botão, sem cicatriz adicional (Fig. 3); acresce que esta técnica, por disponibilizar visualização direta de todo o procedimento, permite eleger com maior acuidade o local da gastrostomia e apresenta uma incidência significativamente menor de complicações graves.…”