Comparison of Postoperative Pain Following Laparoscopic Versus Open Gastrostomy/Jejunostomy in Patients with Complete Obstruction Caused by Advanced Esophageal Cancer

Abstract

LGJ is associated with less postoperative pain than OGJ in patients with complete obstruction caused by advanced esophageal cancer.

Surgical Gastrostomy With Mini Laparatomy Under Local Anesthesia: Analysis of 62 Cases

“…The mean operation time is relatively longer for laparoscopic gastrostomy and relatively shorter for PEG in literature (6,9,23). The mean operation time in our study was 34 ± 12.8 minutes and it was relatively very short considering these risky patients.…”

“…Especially severe respiratory insufficiency might restrict the use of endoscopy (8). SG can be performed by either laparatomy or laparoscopy (9).…”

Laparoscopic vs open insertion of feeding gastrostomy tube in adults with head and neck cancers: A case‐matched comparative study

“…Bankhead and colleagues, 4 for example, started feeding after a mean of 1.5 days following laparoscopic gastrostomy patients) gastrostomy/jejunostomy in patients with obstructing and advanced oesophageal cancer, the laparoscopic approach was associated with significantly shorter duration and frequency of use of non-opioid analgesia. 7 The shorter operating time observed with laparoscopic FTG in our study (median, 40 vs 60 minutes, P = . Previously described techniques for the laparoscopic insertion of FTG that involved a single site gastrotomy wide enough to accommodate the bumper of the feeding tube that is then tightened over the tube with a purse-string suture 6 or a Seldinger technique with dilatation of the gastrotomy puncture site to accommodate a 24Fr FTG and its bumper.…”

“…Previously described techniques for the laparoscopic insertion of FTG that involved a single site gastrotomy wide enough to accommodate the bumper of the feeding tube that is then tightened over the tube with a purse‐string suture 6 or a Seldinger technique with dilatation of the gastrotomy puncture site to accommodate a 24Fr FTG and its bumper 7 . Recently, Kandil and colleagues 10 described a novel two‐ports technique whereby the larger 10 mm/11 mm port was used to exteriorise the stomach for an open introduction of a balloon gastrostomy tube and purse‐string suturing; however, they needed to extend the incision by an additional 1 cm in some patients, required additional ports (up to four ports) in 3 of 14 patients (21.5%), reported a 21.5% wound infection rate and 14.3% early tube dislodgment rate, started enteral feeding, started feeding the following day and did not report the length of postoperative hospital stay.…”

“…It is noted in this regard that previous authors reporting on laparoscopic gastrostomy have introduced feeding via the tube gastrostomy no earlier than the following day after surgery. Bankhead and colleagues, 4 for example, started feeding after a mean of 1.5 days following laparoscopic gastrostomy and 2.1 days following open gastrostomy, while Matsutani and colleagues 7 commenced feeding within 24 hours in all patients. The reduced postoperative pain might also have contributed to the shorter hospital stay after laparoscopic FTG in our study.…”