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>Journals >Cirujano General >Year 2007, Issue 1


Tapia JJ, León MBH, García LJJ, Jiménez CJL, Baños GCO, García GJJ
Gastrostomy through laparoscopy in the rabbit, as an educational surgical proposal
Cir Gen 2007; 29 (1)

Language: Español
References: 18
Page: 37-41
PDF: 4. Kb.


Full text




ABSTRACT

Objective: To proposed a surgical educational procedure for laparoscopic gastrostomy in the rabbit, which is both didactic and low-priced.
Setting: Surgery department; Universidad Nacional Autonoma de Mexico UNAM.
Design: Descriptive, experimental study. Statistical analysis: not require.
Material and methods: Five healthy male rabbits, New Zealand breed, weighing between 2,500 and 3,500 kg, were used. In the surgical room, under general anesthesia and endotracheal intubation, carbon dioxide was insufflated into the abdominal cavity. The camera was introduced through a 10-mm trocar, and a 5-mm trocar was used to introduce the instrument to move the stomach. Percutaneously, four “T”-sutures were performed using a fenestred needle to hold the stomach, like a hammock. Through its center and under direct endoscopic vision, a wire guide was passed to reach the gastric lumen. The wire guide was used to introduce the dilators and a gastrostomy catether, the balloon was insuflated and the “T” sutures were retracted and ligated in the exterior. This maneuver served to fix the anterior gastric wall to the parietal peritoneum, and the abscence of leakage was confirmed. Eight days thereafter, by means of X rays, we confirmed fixation of the stomach to the abdominal wall and the absence of gastric content leaks.
Results: In the rabbit, “T” sutures are safe and fix adequately the stomach to the abdominal wall, keeping the gastrostomy catheter in place and without leaks.
Conclusions: Gastrostomy with laparoscopic technique and fixation with “T” sutures, in the experimental animal (rabbit), is a feasible, reproducible, useful, safe and cheapsurgical procedure. Therefore, it is proposed to be validated as an educational model in the teaching of laparoscopic surgery.


Key words: Laparoscopic, gastrostomy, rabbit.


REFERENCIAS

  1. Pérez CJ. Manual de cirugía laparoscópica. México, D.F. McGraw-Hill Interamericana, 1995.

  2. Chousleb KA, Shuchleib ChS. Enseñanza y aprendizaje en cirugía laparoscópica. Cir Gen 1992; 14: 153-156.

  3. Terrazas EF, Galindo NA, Orduña D, Sanjurjo GJL, Solana LJ, Suárez ME. Cirugía laparoscópica intragástrica (Endoluminal), informe de dos pacientes. Cir Gen 2005; 27: 222-228.

  4. Murayama KM, Johnson TJ, Thompson JS. Laparoscopic gastrostomy and jejunostomy are safe and effective for obtaining enteral acces. Am J Surg 1996; 172: 591-595.

  5. Adham M, Baulieux J. Laparoscopic gastrostomy. Surg Endosc 2000; 14: 500-502

  6. Minard G. Enteral acces. Nutr Clin Pract 1994; 9: 172-182.

  7. Mikaelsson C, Arnbjornsson E. Single-puncture laparoscopic gastrostomy in children. Pediatr Surg Int 1998; 14: 43-44.

  8. Edelman DS, Unger SW. Laparoscopic gastrostomy and jejunostomy: review of 22 cases. Surg Laparos Endosc 1994; 4: 297-300.

  9. Tapia JJ, León MB, Baños GC, García LJ. Apendicectomía por laparoscopia en el conejo como modelo quirúrgico experimental. Rev Fac Med UNAM 2005; 48: 232-235

  10. Norma Oficial Mexicana. Especificaciones Técnicas para la producción, cuidado y uso de los animales de laboratorio. NOM-062-ZOO-1999.

  11. Duh QY, Way LW. Laparoscopic gastrostomy using T-fasteners as retractors and anchors. Surg Endosc 1993; 7: 60-63.

  12. Duh QY, Senokozlieff-Englehart AL, Choe YS, Siperstein AE, Rowland K, Way LW. Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anestesia. Arch Surg 1999; 134: 151-156.

  13. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980; 15: 872-75.

  14. Steyaert H, Carfagna L, Lembo MA. Comparación entre la gastrostomía por vía laparoscópica y endoscópica en niños. Pediatric Endosurgery and innovative techniques 2003; 7: 141-145.

  15. Detski AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr 1987; 11: 8-13.

  16. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ 1994; 308: 945-8

  17. Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with chronic peptic ulcer. 1936. Nutr Hosp 2001; 16: 141-3.

  18. Rombeau JL, Caldwell MD. Formulas. En: Rombeau J, Caldwell M. (eds) Clinical nutrition: enteral and tube feeding. 1993; Philadelphia: WB Saunders: 149-174.






>Journals >Cirujano General >Year 2007, Issue 1
 

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