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Fig. 1 | BMC Surgery

Fig. 1

From: Laparoscopic vs. open feeding jejunostomy insertion in oesophagogastric cancer

Fig. 1

Laparoscopic Jejunostomy technique. A Two jejunal sutures inserted in ‘W’ configuration leaving an approximately 1 cm2 box target as shown in red in schematic representation (B). C Endo Close™ device introduced via a 2–3 mm skin incision for retrieval of suture ends. D peritoneal entry must be judged to ensure creation of a 1 cm2 box configuration which mirrors that at the jejunum. E Jejunostomy insertion trocar targeted at centre of jejunal box target. F Jejunostomy tube delivered via trocar, with visual confirmation of placement towards distal limb, and saline flush of tube for confirmation of patency and positioning. G Antirotation suture placed at nearby distal jejunal limb

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