Abstract

SALAMANCA, Édgar; SEBA, Juan Enrique  and  SUAREZ, Andrea. Experience with the miniopen laparoscopic gastrostomy technique in children. rev. colomb. cir. [online]. 2017, vol.32, n.3, pp.176-181. ISSN 2011-7582.  https://doi.org/10.30944/20117582.22.

Introduction: The goal of the present study is to describe the experience of laparoscopic gastrostomy using the mini-open technique with some modifications at two general hospitals in Bogotá, Colombia. Materials and methods: A case study was conducted within the group of pediatric patients (0–13 years old) who underwent laparoscopic gastrostomy using the mini-open technique in the period August 2013 to January 2015. Pre, trans, and postoperative facts that could affect patient safety are described. Results: 47 gastrostomies were conducted on patients aged 1 month to 13 years of age. The main indication for gastrostomy was suction-swallowing disorder (44/47, 93%). The comorbidities presented by these patients were 85% neurological and 57% cardiac. Most of the devices were balloon inflatable retainer devices (89.36%). The initiation of enteral nutrition for most patients was within the first 24 hours without documented related complications. The mean time for the procedure was 57 minutes. Only minor postoperative complications were documented. Discussion: Laparoscopic gastrostomy has multiple advantages and is a safe, reproducible procedure that requires only basic laparoscopic instruments: it is recommended as the procedure of choice for the pediatric population.

Keywords : Gastrostomy; laparoscopy; pediatrics; enteral nutrition; postoperative complications.

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