JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 22, Issue 3 (May 2017)
Japanese

Laparoscopic-assisted feeding jejunostomy in surgery for esophageal cancer Takahiro NISHIDA 1 , Shinsuke TAKENO 1 , Takuto IKEDA 1 , Fumiaki KAWANO 1 , Shinya NAKASHIMA 2 , Atsushi NANASHIMA 1 1Division of Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, University of Miyazaki Faculty of Medicine 2Nakashima Clinic Keyword: 食道癌 , 食道亜全摘術 , 腹腔鏡下腸瘻造設術 pp.393-398
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200417
  • Abstract
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Laparoscopic(or laparoscopy-assisted) jejunostomy has been performed widely since the 1990s, and no special complicated procedure is required. However, creation of the jejunostomy after thoracoscopic esophagectomy and laparoscopic-assisted gastric conduit reconstruction is cumbersome, especially for the young surgeons. The authors introduced the following method to simplify the procedure. Initially, the feeding tube is intubated into the jejunum by the Witzel technique using a jejunostomy kit(Nipro STJ Kit). After four stitches are applied and tied at the jejunal wall to surround the tube, two additional sutures are placed at the oral side of the jejunal wall from the jejunostomy site. Following this, six sutures are fixed using Lapa-Her-ClosureTM through the abdominal wall. We performed this procedure in 50 patients with esophageal cancer. Postoperative tube obstruction occurred in three patients, but re-opening of the tube with a guide wire was possible in two of the patients. The outcomes of this procedure were good. The authors found that the procedure is simplified and standardized and is applicable to various situations.


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基本情報

13446703.22.3.jpg
日本内視鏡外科学会雑誌
22巻3号 (2017年5月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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