A Study of Laparoscopic Stoma Creation for Patients with Colorectal Cancer

• Published in: Gan to kagaku ryoho Vol. 48; no. 3; p. 391
• Main Authors: Shiratori, Fumiaki, Tonooka, Toru, Takiguchi, Nobuhiro, Ikeda, Atsushi, Soda, Hiroaki, Hoshino, Isamu, Gunji, Hisashi, Tabe, Shunsuke, Nabeya, Yoshihiro
• Format: Journal Article
• Language: Japanese
• Published: Japan 01-03-2021
• Subjects: Colorectal Neoplasms - drug therapy; Colorectal Neoplasms - surgery; Colostomy; Humans; Ileostomy; Laparoscopy; Retrospective Studies; Surgical Stomas
• ISSN: 0385-0684

There are few reports on laparoscopic stoma creation; we report here our experience with laparoscopic stoma creation.
Seven patients who underwent laparoscopic stoma creation between April 2019 and December 2019 were studied and their clinical outcome was evaluated retrospectively. Operation approach: We performed a colostomy in the transverse colon. At first, we insert a 12 mm first port into the site of stoma marking. And more, we insert three 5 mm ports on the opposite side of the first port. We remove the adhesions of the intestinal tract and create a colostomy.
We changed open method 2 cases out of 7 cases due to extensive adhesion. In laparoscopically, we had an operation time of 97 (42-130) minutes and a blood loss of 5(2-40) mL. We had no postoperative complications or stoma problems.
Laparoscopic stoma creation was useful due to few postoperative complications and can be rapidly transferred to chemotherapy.