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Here, we introduce a new laparoscopic technique for inserting a gastrostomy tube.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Surgical Technique<\/jats:title><jats:p>We used this new laparoscopic approach in 21 patients for whom PEG was not suitable. After marking on the abdominal skin and inserting the trocars, two 2\u20100 silk sutures were passed. Two stitches were placed 2 cm apart in the stomach with one hand. Each suture was pulled out with the fascia closure, the stomach was pulled out with a Babcock, and a purse\u2010string suture using a round 2\u20100 silk suture was placed outside the stomach, creating a mushroom\u2010retained gastrostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This new laparoscopic technique is minimally invasive. It provides full control through only two trocars and required smaller incisions than common laparoscopic approaches. This method can be used to insert a gastrostomy tube in indicated patients when PEG placement is not suitable.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12780","type":"journal-article","created":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T06:30:37Z","timestamp":1578897037000},"page":"610-613","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8415-2567","authenticated-orcid":false,"given":"Masoud","family":"Sayadi Shahraki","sequence":"first","affiliation":[{"name":"Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center Alzahra University Hospital, Isfahan University of Medical Sciences  Isfahan 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