PDF(Pubmed)
Abstract：
UNASSIGNED: Feeding jejunostomy (FJ) is a critical procedure to establish a source of enteral nutrition for upper gastrointestinal disorders. Minimally invasive surgery has the inherent benefit of better patient outcomes, less postoperative pain, and early discharge. This study aims to describe our total laparoscopic technique of Witzel FJ and to compare its outcome with its open counterpart.
UNASSIGNED: A retrospective database analysis was performed in patients who underwent laparoscopic (n = 20) and open (n = 21) FJ as a stand-alone procedure from July 2018 to July 2022. A readily available nasogastric tube (Ryles tube) and routine laparoscopic instruments were used to perform laparoscopic FJ. Perioperative data and postoperative outcomes were analyzed.
UNASSIGNED: Baseline preoperative variables were comparable in both groups. The median operative duration in the laparoscopic FJ group was 180 minutes vs. 60 minutes in the open FJ group (p = 0.01). Postoperative length of hospital stay was 3 days vs. 4 days in the laparoscopic and open FJ groups, respectively (p = 0.08). Four patients in the open FJ group suffered from an immediate postoperative complication (none in the laparoscopic FJ group). After a median follow-up of 10 months, fewer patients in the laparoscopic FJ group had complications such as tube clogging, tube dislodgement, surgical-site infection, and small bowel obstruction.
UNASSIGNED: Laparoscopic FJ with the Witzel technique is a safe and feasible procedure with a comparable outcome to the open technique. Patient selection is vital to overcome the initial learning curve.
UNASSIGNED: A retrospective database analysis was performed in patients who underwent laparoscopic (n = 20) and open (n = 21) FJ as a stand-alone procedure from July 2018 to July 2022. A readily available nasogastric tube (Ryles tube) and routine laparoscopic instruments were used to perform laparoscopic FJ. Perioperative data and postoperative outcomes were analyzed.
UNASSIGNED: Baseline preoperative variables were comparable in both groups. The median operative duration in the laparoscopic FJ group was 180 minutes vs. 60 minutes in the open FJ group (p = 0.01). Postoperative length of hospital stay was 3 days vs. 4 days in the laparoscopic and open FJ groups, respectively (p = 0.08). Four patients in the open FJ group suffered from an immediate postoperative complication (none in the laparoscopic FJ group). After a median follow-up of 10 months, fewer patients in the laparoscopic FJ group had complications such as tube clogging, tube dislodgement, surgical-site infection, and small bowel obstruction.
UNASSIGNED: Laparoscopic FJ with the Witzel technique is a safe and feasible procedure with a comparable outcome to the open technique. Patient selection is vital to overcome the initial learning curve.
摘要：
未经授权：空肠吻合术（FJ）是建立上消化道疾病肠内营养来源的关键程序。微创手术具有更好的患者预后的固有益处，术后疼痛减少，提前出院。这项研究旨在描述我们对WitzelFJ的全腹腔镜技术，并将其结果与开放的结果进行比较。
UNASSIGNED：对2018年7月至2022年7月接受腹腔镜（n=20）和开放（n=21）FJ作为独立手术的患者进行了回顾性数据库分析。使用现成的鼻胃管（Ryles管）和常规腹腔镜器械进行腹腔镜FJ。分析围手术期资料和术后结果。
UNASSIGNED：两组的基线术前变量具有可比性。腹腔镜FJ组的中位手术时间为180分钟。开放FJ组60分钟(p=0.01)。术后住院时间为3天vs.腹腔镜和开腹FJ组4天，分别(p=0.08)。开放FJ组中的四名患者立即发生术后并发症（腹腔镜FJ组中没有）。经过10个月的中位随访，腹腔镜FJ组患者较少出现并发症，如导管堵塞，管移位,手术部位感染,和小肠梗阻.
UNASSIGNED：采用Witzel技术的腹腔镜FJ是一种安全可行的手术，其结果与开放技术相当。患者的选择对于克服最初的学习曲线至关重要。
UNASSIGNED：对2018年7月至2022年7月接受腹腔镜（n=20）和开放（n=21）FJ作为独立手术的患者进行了回顾性数据库分析。使用现成的鼻胃管（Ryles管）和常规腹腔镜器械进行腹腔镜FJ。分析围手术期资料和术后结果。
UNASSIGNED：两组的基线术前变量具有可比性。腹腔镜FJ组的中位手术时间为180分钟。开放FJ组60分钟(p=0.01)。术后住院时间为3天vs.腹腔镜和开腹FJ组4天，分别(p=0.08)。开放FJ组中的四名患者立即发生术后并发症（腹腔镜FJ组中没有）。经过10个月的中位随访，腹腔镜FJ组患者较少出现并发症，如导管堵塞，管移位,手术部位感染,和小肠梗阻.
UNASSIGNED：采用Witzel技术的腹腔镜FJ是一种安全可行的手术，其结果与开放技术相当。患者的选择对于克服最初的学习曲线至关重要。
