Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique
Background: Gastrostomy button (G-button) placement is a common operation with multiple strategies for insertion: open, percutaneous endoscopic gastrostomy (PEG), standard laparoscopic, and single incision laparoscopic surgery (SILS). In 2016, we developed a SILS G-button procedure with several modi...
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Elsevier
2025-11-01
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| Series: | Journal of Pediatric Surgery Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949711625000322 |
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| author | Daniel VanZweden Michael Leinwand |
| author_facet | Daniel VanZweden Michael Leinwand |
| author_sort | Daniel VanZweden |
| collection | DOAJ |
| description | Background: Gastrostomy button (G-button) placement is a common operation with multiple strategies for insertion: open, percutaneous endoscopic gastrostomy (PEG), standard laparoscopic, and single incision laparoscopic surgery (SILS). In 2016, we developed a SILS G-button procedure with several modifications which simplify the technique. We aim to demonstrate the feasibility of this new SILS G-button technique. Methods: SILS G-button operations performed from January 2016 to February 2024 were retrospectively evaluated. Age, gender, weight, operative time, duration of follow-up, and complications were recorded. Results: There were 71 patients in the cohort. The operation was faster in smaller children, with mean operative times of 23 min in children < 10 kg versus 36 min in children ≥ 10 kg (p = 0.002). Six patients (9 %) required an additional trocar. There were no major complications or conversions to an open procedure. Thirty-one patients (44 %) had granulation tissue. Two of these patients required operative excision. Conclusions: The SILS G-button technique is simple, effective, and completed in about 30 min. There is no wound except for the gastrostomy itself. The only complications were granulation tissue and dermatitis from leakage. |
| format | Article |
| id | doaj-art-a3a7f22591f741ba97f2ed1c29dbfffc |
| institution | Kabale University |
| issn | 2949-7116 |
| language | English |
| publishDate | 2025-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Open |
| spelling | doaj-art-a3a7f22591f741ba97f2ed1c29dbfffc2025-08-20T03:36:18ZengElsevierJournal of Pediatric Surgery Open2949-71162025-11-011210022310.1016/j.yjpso.2025.100223Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient techniqueDaniel VanZweden0Michael Leinwand1Department of General Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI, USA; Corresponding author: 1000 Oakland Dr, Kalamazoo, MI 49008, USA.Department of Pediatric Surgery, Bronson Children’s Hospital, Kalamazoo, MI, USABackground: Gastrostomy button (G-button) placement is a common operation with multiple strategies for insertion: open, percutaneous endoscopic gastrostomy (PEG), standard laparoscopic, and single incision laparoscopic surgery (SILS). In 2016, we developed a SILS G-button procedure with several modifications which simplify the technique. We aim to demonstrate the feasibility of this new SILS G-button technique. Methods: SILS G-button operations performed from January 2016 to February 2024 were retrospectively evaluated. Age, gender, weight, operative time, duration of follow-up, and complications were recorded. Results: There were 71 patients in the cohort. The operation was faster in smaller children, with mean operative times of 23 min in children < 10 kg versus 36 min in children ≥ 10 kg (p = 0.002). Six patients (9 %) required an additional trocar. There were no major complications or conversions to an open procedure. Thirty-one patients (44 %) had granulation tissue. Two of these patients required operative excision. Conclusions: The SILS G-button technique is simple, effective, and completed in about 30 min. There is no wound except for the gastrostomy itself. The only complications were granulation tissue and dermatitis from leakage.http://www.sciencedirect.com/science/article/pii/S2949711625000322ILSlaparoscopicGastrostomyType of Study: Retrospective Chart ReviewLevel of Evidence: Level IV |
| spellingShingle | Daniel VanZweden Michael Leinwand Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique Journal of Pediatric Surgery Open ILS laparoscopic Gastrostomy Type of Study: Retrospective Chart Review Level of Evidence: Level IV |
| title | Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique |
| title_full | Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique |
| title_fullStr | Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique |
| title_full_unstemmed | Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique |
| title_short | Single incision laparoscopic gastrostomy button insertion: A straightforward and efficient technique |
| title_sort | single incision laparoscopic gastrostomy button insertion a straightforward and efficient technique |
| topic | ILS laparoscopic Gastrostomy Type of Study: Retrospective Chart Review Level of Evidence: Level IV |
| url | http://www.sciencedirect.com/science/article/pii/S2949711625000322 |
| work_keys_str_mv | AT danielvanzweden singleincisionlaparoscopicgastrostomybuttoninsertionastraightforwardandefficienttechnique AT michaelleinwand singleincisionlaparoscopicgastrostomybuttoninsertionastraightforwardandefficienttechnique |