Laparoscopic extraperitoneal colostomy (with video)

Barbieux, J.; Perotto, O.; Leroy, Joël

doi:10.1016/j.jviscsurg.2017.03.003

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…8 For tunnel expansion, Kelly forceps and straight retractor were used in previous studies. 8,18 We Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of article is prohibited.…”

Section: Discussionmentioning

confidence: 99%

“…For tunnel expansion, Kelly forceps and straight retractor were used in previous studies. 8,18 We recommend using the index finger initially because it is gentle and more flexible. A curved sponge forceps was then used to expand the tunnel to the abdominal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…3,10 Studies have reported various colostomy locations. Zhang et al 8 chose to create an extraperitoneal colostomy just across over the left rectus abdominis muscle or slightly above the umbilical level, whereas Barbieux et al 18 chose the mid-clavicular line at the umbilical level. Although we are unsure of the theoretical basis for the sites selected in other studies, but personally, we assume that patients with colostomy located within the rectus abdominis muscle would benefit from a low risk of prolapse and PSH as well as better defecation control.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Modified Approach for Extraperitoneal Colostomy Creation in Laparoscopic Abdominoperineal Resection

Zhang,

Li,

Cheng

et al. 2023

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Parastomal hernia is a major long-term complication after abdominoperineal resection. Extraperitoneal colostomy has been proposed as an effective step for parastomal hernia prevention but it has not been widely used as it is technically-demanding and time-consuming. We proposed a modified approach for extraperitoneal colostomy creation by entering the extraperitoneal space through the arcuate line of the posterior rectus sheath. OBJECTIVE: To evaluate the safety, difficulty and efficacy for long-term parastomal hernia prevention of the modified approach for extraperitoneal colostomy creation compared with conventional transperitoneal colostomy approach. DESIGN: This was a retrospective evaluation of a surgical and video database. SETTINGS: This was a single-institution retrospective study. PATIENTS: Clinical data of 74 patients who underwent laparoscopic abdominoperineal resection surgery from January 2019 to January 2020 in the Department of General Surgery, Qilu Hospital of Shandong University were retrospectively reviewed. MAIN OUTCOME MEASURES: Baseline characteristics, time required for colostomy creation (from skin incision to colostomy maturation), perioperative complications, and long-term colostomy-related complications were compared. RESULTS: Baseline characteristics did not differ between the 2 approaches. The body mass index level ranged from 19.5 to 29.4 kg/m 2 for patients undergoing extraperitoneal approach. Time required for colostomy creation [22 (21-25) min for extraperitoneal vs. 23 (21-25) min for transperitoneal, p = 0.861] were comparable between the two approaches. The cumulative incidence of parastomal hernia was significantly greater with transperitoneal colostomy than extraperitoneal colostomy at 2 and 3 years postoperatively (16.2% vs. 0, p = 0.025, and 21.6% vs. 0, p = 0.005). The rest perioperative complications and long-term colostomy-related complications did not differ between the two approaches. LIMITATIONS: This study is limited by its retrospective design and small sample size. CONCLUSIONS: The modified approach for extraperitoneal colostomy creation is safe, technically simple and effective for long-term parastomal hernia prevention in patients with a body mass index of 19.5 - 29.4 kg/m 2.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Modified Approach for Extraperitoneal Colostomy Creation in Laparoscopic Abdominoperineal Resection

Zhang,

Li,

Cheng

et al. 2023

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

“…In theory, using the procedure to prevent rather than to repair a paracolostomy hernia would be preferable. Recently single reports have described the technique of laparoscopic extraperitoneal end colostomy that encompass separation of only the parietal peritoneum layer to create the extraperitoneal canal for the colon.…”

Section: Introductionmentioning

confidence: 99%