LAPAROSCOPIC GASTROSTOMY VERSUS OPEN GASTROSTOMY IN HEAD AND NECK-CANCER PATIENTS

Alimentation in the surgically treated head and neck cancer patient fr equently requires bypassing the upper aerodigestive tract. The laparos copic gastrostomy fulfills this criterion. The authors compared 25 lap aroscopic gastrostomies (group 1) with 18 open gastrostomies (group 2) performed on head and neck cancer patients. The length of operation, morbidity, mortality, and cost were evaluated, Operative time was sign ificantly shorter in group 1 (40 +/- 2 minutes) than in group 2 (56 +/ - 4 minutes), with P = .003, The major complication rate was 9% for gr oup 1 and 11% for group 2, There was no procedure-related mortality in group 1, but 1 patient died in the immediate postoperative period in group 2, The cost was not significantly different, It is concluded tha t the laparoscopic gastrostomy is a safe and cost-effective alternativ e to open gastrostomy in this patient group.