Sefer Tolga Okay, Hasan Deliağa, Hakan Özcan, Esra Ozçakir, Mete Kaya
{"title":"儿童基础腹腔镜胃造口术伴或不伴底瓣的疗效分析。","authors":"Sefer Tolga Okay, Hasan Deliağa, Hakan Özcan, Esra Ozçakir, Mete Kaya","doi":"10.1177/10926429251364709","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b> Various methods for gastrostomy tube (GT) placement have been described, including open, endoscopic, and laparoscopic. We present the results of the basic laparoscopic Stamm gastrostomy (LSG) method that we recently described. <b><i>Methods:</i></b> Data of patients who underwent gastrostomy with the LSG method between 2016 and 2024 were retrospectively analyzed. The patients were divided into two groups as those who had only LSG and those who had fundoplication in the same session. Primary endpoints included demographic and clinical characteristics, operative findings, and minor and major postoperative complications. <b><i>Results:</i></b> During the study period, LSG was performed in 122 patients (M/F: 68/54, median age: 2.5 years), only gastrostomy in 9 patients and with concomitant fundoplication in 113 patients. Both age and weight were significantly lower in the LSG group (<i>P</i> < 0.05). Most of patients have neurological impairment (79%). The gastrostomy indications were failure to thrive (53%) and gastroesophageal reflux symptoms (38%). There were no conversions to open surgery and no complications. The median duration of the procedure in gastrostomy, and with fundoplication was 30 and 95 minutes, respectively, the difference was significant (<i>P</i> < 0.05). The mean follow-up period was 63 months. Minor complications such as granulation, leakage, and dislocation were developed in 63 patients (52%), and adhesive bowel obstruction or peritonitis as major complications in 4 patients (4%). <b><i>Conclusion:</i></b> The LSG method is a safe, effective, and durable minimally invasive method with satisfactory midterm follow-up results and a low complication rate in patients with neurological disorders and those requiring gastrostomy due to other pathologies.</p>","PeriodicalId":50166,"journal":{"name":"Journal of Laparoendoscopic & Advanced Surgical Techniques","volume":" ","pages":"763-769"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Outcomes of the Basic Laparoscopic Stamm Gastrostomy Technique With or Without Fundoplication in Children.\",\"authors\":\"Sefer Tolga Okay, Hasan Deliağa, Hakan Özcan, Esra Ozçakir, Mete Kaya\",\"doi\":\"10.1177/10926429251364709\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Background:</i></b> Various methods for gastrostomy tube (GT) placement have been described, including open, endoscopic, and laparoscopic. We present the results of the basic laparoscopic Stamm gastrostomy (LSG) method that we recently described. <b><i>Methods:</i></b> Data of patients who underwent gastrostomy with the LSG method between 2016 and 2024 were retrospectively analyzed. The patients were divided into two groups as those who had only LSG and those who had fundoplication in the same session. Primary endpoints included demographic and clinical characteristics, operative findings, and minor and major postoperative complications. <b><i>Results:</i></b> During the study period, LSG was performed in 122 patients (M/F: 68/54, median age: 2.5 years), only gastrostomy in 9 patients and with concomitant fundoplication in 113 patients. Both age and weight were significantly lower in the LSG group (<i>P</i> < 0.05). Most of patients have neurological impairment (79%). The gastrostomy indications were failure to thrive (53%) and gastroesophageal reflux symptoms (38%). There were no conversions to open surgery and no complications. The median duration of the procedure in gastrostomy, and with fundoplication was 30 and 95 minutes, respectively, the difference was significant (<i>P</i> < 0.05). The mean follow-up period was 63 months. Minor complications such as granulation, leakage, and dislocation were developed in 63 patients (52%), and adhesive bowel obstruction or peritonitis as major complications in 4 patients (4%). <b><i>Conclusion:</i></b> The LSG method is a safe, effective, and durable minimally invasive method with satisfactory midterm follow-up results and a low complication rate in patients with neurological disorders and those requiring gastrostomy due to other pathologies.</p>\",\"PeriodicalId\":50166,\"journal\":{\"name\":\"Journal of Laparoendoscopic & Advanced Surgical Techniques\",\"volume\":\" \",\"pages\":\"763-769\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Laparoendoscopic & Advanced Surgical Techniques\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10926429251364709\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/5 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laparoendoscopic & Advanced Surgical Techniques","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10926429251364709","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/5 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Outcomes of the Basic Laparoscopic Stamm Gastrostomy Technique With or Without Fundoplication in Children.
Background: Various methods for gastrostomy tube (GT) placement have been described, including open, endoscopic, and laparoscopic. We present the results of the basic laparoscopic Stamm gastrostomy (LSG) method that we recently described. Methods: Data of patients who underwent gastrostomy with the LSG method between 2016 and 2024 were retrospectively analyzed. The patients were divided into two groups as those who had only LSG and those who had fundoplication in the same session. Primary endpoints included demographic and clinical characteristics, operative findings, and minor and major postoperative complications. Results: During the study period, LSG was performed in 122 patients (M/F: 68/54, median age: 2.5 years), only gastrostomy in 9 patients and with concomitant fundoplication in 113 patients. Both age and weight were significantly lower in the LSG group (P < 0.05). Most of patients have neurological impairment (79%). The gastrostomy indications were failure to thrive (53%) and gastroesophageal reflux symptoms (38%). There were no conversions to open surgery and no complications. The median duration of the procedure in gastrostomy, and with fundoplication was 30 and 95 minutes, respectively, the difference was significant (P < 0.05). The mean follow-up period was 63 months. Minor complications such as granulation, leakage, and dislocation were developed in 63 patients (52%), and adhesive bowel obstruction or peritonitis as major complications in 4 patients (4%). Conclusion: The LSG method is a safe, effective, and durable minimally invasive method with satisfactory midterm follow-up results and a low complication rate in patients with neurological disorders and those requiring gastrostomy due to other pathologies.
期刊介绍:
Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.