LAPAROSCOPY AIDED GASTROSTOMY IN CHILDREN

Background and Aims: The aim of this report is to describe a method fo r laparoscopy aided button gastrostomy in children. Material and Metho ds: The method includes the use of two ports, one umbilical and one su bcostal on the left side. The stomach is exteriorized using a grasping forceps in the subcostal port. Under direct vision the gastrostomy bu tton, MIC-KEY(R), is inserted into the stomach at the lesser curvature and secured by purse string sutures. The stomach is attached to the a nterior abdominal wall. Results: The results show that this method has been successfully used in 33 children without operative complications . Conclusions: We conclude that by inserting the gastrostomy button un der direct vision, damage to other abdominal organs is avoided and a c orrect placement at the lesser curvature obtained. The combination of laparoscopic and open procedures makes the method easy and safe.