Stoma formation for fecal diversion: a plea for the laparoscopic approach

Liu, J.; Bruch, Hans–Peter; Farke, S.; Nolde, J.; Schwandner, O.

doi:10.1007/s10151-005-0185-6

Cited by 55 publications

(35 citation statements)

References 21 publications

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“…Without exception, all these studies concluded that the laparoscopic approach to the creation of a stoma is reliable, technically feasible and effective [1,2,6]. In particular, when the stoma is applied as the sole abdominal intervention, the laparoscopic approach appears to be a very good option [1,3].…”

Section: Discussionmentioning

confidence: 98%

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Palliative stoma creation: comparison of laparoscopic vs conventional procedures

Scheidbach

Ptok

Schubert

et al. 2007

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 98%

“…In view of this fact, a surgical approach associated with a minimum of traumatization would appear especially desirable in these patients [3,4,[6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Palliative stoma creation: comparison of laparoscopic vs conventional procedures

Scheidbach

Ptok

Schubert

et al. 2007

Langenbecks Arch Surg

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“…In recent years, laparoscopic techniques have been adopted for various surgeries, including stoma creation. Since Khoo et al 7) first reported the technique of laparoscopic loop ileostomy, many less invasive techniques for stoma creation, including SILS and gasless LS creation, have been described [8][9][10][11][12][13][14] . In this study, we analyzed data from patients who underwent stoma creation and discussed the indications for the surgical approaches used.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus Open stoma creation: A retrospective analysis

Hayashi

Kotake

Hada

et al. 2017

J Anus Rectum Colon

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Abstract:Objectives: This study aimed to compare open stoma (OS) creation with laparoscopic stoma (LS) creation considering the operation time, blood loss, time of oral intake, and complications. We also compared multiport LS and single-incision laparoscopic stoma (SILS) creation. Methods: We reviewed the demographic data, diagnosis, indications, operation time, blood loss, time of oral intake, operative procedure, and complications of 50 patients who underwent stoma creation between April 2014 and April 2016. Results: The mean blood loss was significantly lower in the LS group (7.85 18.4 ml) than in the OS group (38.1 73.2 ml; P=0.02). There were no statistical differences between the groups in terms of the operation time (LS, 72.1 32.7 min; OS, 61.2 31.2 min; P=0.23) or time of oral intake (LS, 1.0 0 days; OS, 1.91 2.71 days; P=0.17). Peristomal skin problems occurred in 11 patients (47.8%) in the OS group and 5 patients (18.5%) in the LS group. There were no statistically significant differences between the SILS and multiport LS groups, considering the operation time, amount of bleeding, and time of oral intake. Conclusions: LS is comparable with OS in terms of operation time and time of oral intake and may cause lesser blood loss. Considering its advantages, LS is a useful approach for patients requiring biopsies or intraabdominal inspection. SILS is a minimally invasive technique, suitable for patients in whom the stoma site is preoperatively decided.

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“…Laparoscopy has been described as the best way to proceed for the formation of an intestinal stoma (17,18). In the gasless technique, there are no incisions other than the one that is done to create the stoma.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

et al. 2017

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Background: Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia.Objective: To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy.Materials and methods: Five pigs underwent endoscopic assisted colostomy with percutaneous colopexy. Animals were evaluated in post-operative days 1, 2, 5 and 7 for feeding acceptance and colostomy characteristics. On day 7 full colonoscopy was performed on animals followed by exploratory laparotomy.Results: Average procedure time was 27 minutes (21-54 min). Postoperative mobility and feeding of animals were immediate after anesthesia recovery. Position of the colostomy, edges color, appearance of periostomal area, as well as its function was satisfactory in four animals. Retraction of colostomy was present in one pig. The colonoscopy and laparotomy control on the seventh day were considered as normal. A bladder perforation that was successfully repaired through the colostomy incision occurred in one pig. The main limitation of this study is its experimental nature.Conclusion: Endoscopic assisted colostomy with percutaneous colopexy proves to be a safe and effective method with low morbidity for performing colostomy in experimental animals, with possible clinical application in humans.

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Stoma formation for fecal diversion: a plea for the laparoscopic approach

Cited by 55 publications

References 21 publications

Palliative stoma creation: comparison of laparoscopic vs conventional procedures

Palliative stoma creation: comparison of laparoscopic vs conventional procedures

Laparoscopic versus Open stoma creation: A retrospective analysis

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

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