Abstract
Gastrostomy is performed when the patient needs to be fed through the gastrointestinal tract but cannot eat orally. Currently, gastrostomy is mostly performed endoscopically, but this is not possible in every case. To nourish esophageal cancer patients who need neo-adjuvant chemoradiotherapy and the use of the stomach to replace the esophagus when performing esophagectomy after chemoradiotherapy treatment, we performed laparoscopic gastrostomy from the anterior wall of the stomach. This is a case series analysis of patients with esophageal cancer who were indicated for neoadjuvant chemoradiotherapy and had large tumors that could not undergo endoscopic gastrostomy. During the period from April 2020 to January 2022, we performed laparoscopic gastrostomy for six patients with stage cT3N0M0 esophageal cancer. These patients were characterized by the inability to eat or drink by mouth because a large tumor obstructed the lumen of the esophagus. The surgery results were successful in all patients, with operative times ranging from 20 to 45 min. There were no cases of accidents or complications. The patient was nourished again by the gastrointestinal tract within 24 h and was transferred to the chemoradiotherapy department after 3 to 4 days for neo-adjuvant chemoradiotherapy treatment. Laparoscopic gastrostomy from the anterior wall of the stomach is a safe technique with a short operation time and a quick postoperative recovery.
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Dang, Q.A. Laparoscopic Gastrostomy from the Anterior Wall of the Stomach: a Simple Gastrostomy Technique with Maximal Preservation of Stomach Integrity. Indian J Surg (2024). https://doi.org/10.1007/s12262-023-04010-9
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DOI: https://doi.org/10.1007/s12262-023-04010-9