Single site laparoscopic gastrostomy with a 4-mm bronchoscopic optical grasper

This article describes a single-site laparoscopic gastrostomy technique using a 4-mm bronchoscopic optical grasper for pediatric patients who are not candidates for percutaneous endoscopic gastrostomy (PEG). The approach offers a minimally invasive alternative for feeding tube placement in children with craniofacial anomalies, foregut abnormalities, or prior surgery.