title: Gasless laparoscopic-assisted intestinal stoma creation through a single incision.
abstract: Intestinal stoma creation has been performed using both open and laparoscopic surgery. However, each technique still has disadvantages. We created the intestinal stoma through one incision, with the use of the laparoscope in a gasless fashion. This method has not been reported previously. Fourteen adult patients underwent this technique between February 1996 and December 1998. Indications for stoma creation were for various anorectal disease processes, most commonly for purposes of hygiene in patients with spinal cord injury. The average operative time to perform the stoma was 58 (range, 15-78) minutes, with minimal blood loss (<35 ml). Follow-up ranged from 1 to 22 months. Two cases (14 percent) were converted secondary to severe adhesions. All nonconverted patients were able to tolerate a regular diet within two days of surgery. There was only one stoma-related complication. Two patients (14 percent) died of comorbidities during follow-up. In conclusion, the initial experience with gasless laparoscopic-assisted intestinal stoma creation through a single incision is encouraging. Patients requiring ostomy creation as a single intervention may benefit from this approach.
authors.affiliation: Department of Surgery, University of Miami School of Medicine, Florida 33136, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Hellinger
authors.forename: S A
authors.initials: SA
authors.lastname: Martinez
authors.forename: E
authors.initials: E
authors.lastname: Parra-Davila
authors.forename: J
authors.initials: J
authors.lastname: Yeguez
authors.forename: L R
authors.initials: LR
authors.lastname: Sands
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D007422:Intestines / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D054047:Surgical Stomas