Colonoscopy-assisted colostomy—an alternative to laparotomy

Abstract

The technique of colonoscopy-assisted colostomy that we have described offers an acceptable method of creating a stoma without the need for laparotomy.

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

“…In addition, procedural time is reduced. We reported an average procedure time of 25 minutes, compared to longer times reported with others techniques (6,17,22).…”

“…Although endoscopic-assisted colostomy is not a new technique (22,23), percutaneous colopexy adds important technical advantages: strong and permanent attachment of the colon to the abdominal wall facilitates safe colostomy performance. Besides that, a pexy stitch on the colonic mucosa serves as a reference to the point that must be overcome for the creation of a colostomy proximal to the pexy.…”

Minimally Invasive, Endoscopically Assisted Colostomy Can Be Performed Without General Anesthesia or Laparotomy

“…The anesthetic for these patients may also significantly increase risk. An endoscopically assisted colostomy as described by Mukherjee et al 1 is ideal for these patients because of the short operative time and the short learning curve. Our work supports the ability to complete the procedure using minimally invasive techniques.…”

Sigmoidoscopy-Assisted Colostomy – An Adapted Trephine Stoma Formation

“…These studies, as well as those performed by Anderson et al [2]and Caruso et al [6], used a bowel clamp across the colon and insufflated gas into the rectum to identify the distal portion of the colon. In our case the colon segment was visualized with the sigmoidoscope before the incision and again during the operation with transillumination of the colon by the sigmoidoscope light, similar to the use of the gastroscope for gastrostomy placement [7]. The proximal/distal ends of the colon were also identified using the sigmoidoscope, eliminating the possible complications with gas insufflation.…”