Three Cases of Single Incision Laparoscopic-assisted Percutaneous Endoscopic Gastrostomy

Abstract

Single-incision laparoscopic-assisted percutaneous endoscopic gastrostomy (SILAPEG) was performed in three consecutive patients in whom conventional percutaneous endoscopic gastrostomy (PEG) could not be performed. The mean operation time was 64 min, and the mean blood loss was 2 ml. There were no perioperative complications. The mean interval to the commencement of enteral nutrition through the gastrostomy tube was 3.3 days. Recently, LAPEG has come to be recognized as a safe and useful procedure. Based on our experience, SILAPEG might be one of the safest and most useful methods for performing gastrostomy, especially in cases where conventional PEG is difficult.