Primary placement of a skin-level Cecostomy Tube for Antegrade Colonic Enema Administration Using a Modification of the Laparoscopic-Assisted Percutaneous Endoscopic Cecostomy (LAPEC)

Modified LAPEC technique enables primary placement of skin-level cecostomy devices for antegrade enema administration in children with refractory constipation or fecal incontinence. Single-center series of 52 patients achieved 88.5% technical success with low infection rates, demonstrating feasibility of direct skin-level device placement.