Laparoscopic Cecostomy Placement for Antegrade Enema Access in the Pediatric Population

In brief

This article presents a laparoscopic surgical technique for creating cecostomy access when appendix-based antegrade continence enema procedures are not feasible in pediatric patients. The authors detail their minimally invasive approach and evaluate both immediate and long-term clinical outcomes for bowel management.

• Laparoscopic cecostomy is a viable alternative when the appendix is unavailable for ACE procedure creation.
• Multiple cecostomy placement techniques exist: percutaneous, endoscopic, and surgical approaches each have distinct indications.
• Short- and long-term outcome data support laparoscopic cecostomy as an effective continence management strategy in pediatrics.

Written by the GCMD Library team from the article.