Laparoscopic creation of loop ileostomy and sigmoid colostomy.
OBJECTIVE
To evaluate the laparoscopic approach in the creation of loop ileostomies and sigmoid colostomies.


METHODS
Prospective open study.


METHODS
University hospital, Sweden.


METHODS
Eighteen consecutive patients who needed faecal diversion.


METHODS
Laparoscopic loop ileostomy (n = 6) or sigmoid colostomy (n = 12).


METHODS
Mortality, morbidity, and duration of operation.


RESULTS
There was no 30-day mortality, and no patients developed infections. The operating time (median 47 minutes, range 45-115 for ileostomies and 50, range 42-102 for colostomies) was comparable to open surgery. Two operations had to be converted to open procedures because of dense adhesions. Postoperative paralytic ileus was transient, and all patients started oral intake on the first postoperative day.


CONCLUSIONS
The laparoscopic technique is easy to do, it takes no longer than open surgery, and it causes minimal trauma, allowing the patients to recover faster.
Almqvist
P M
PM
Department of Surgery, Lund University, Sweden.
Bohe
M
M
Montgomery
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000379:methods*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies