[The application of circular stapler in extraperitoneal colostomy].
OBJECTIVE
To evaluate the clinical and application value of circular stapler in extraperitoneal colostomy.


METHODS
Retrospective analysis was made to 22 cases that experienced extraperitoneal colostomy with circular stapler from Match 2008 to March 2009 in the department of colon and anal surgery of the first hospital of Jilin University.


RESULTS
The length of surgery was (15 +/- 5) min when circular stapler- assisted extraperitoneal colostomy was used, and all of the colostomies were successfully completed during the first procedure. No complications occurred after surgery, such as stoma bleeding, necrosis, infection, retraction, stenosis, intestinal obstruction and hernia beside the stoma etc. Colostomy size of the uniform, beautiful shape formation. Although there were three cases requiring hemostasis due to anastomotic bleeding that occurred during the operation. About 3 months later, staples of the stoma fell off by themselves. All patients were followed up for 6 to 24 months after operation, form and function of colostomy are well.


CONCLUSIONS
The popularization of the application of circular stapler in extraperitoneal colostomy is important and worthwhile for its obvious advantages such as simple operation, good stoma appearance and reduced complications.
Wang
Ju
J
Department of Colon & Anal Surgery, First Hospital of Jilin University, Changchun 130021, China. wangju_86@163.com
Han
Shu-hai
SH
Yang
Yu-min
YM
Wang
Tian-fu
TF
Liu
Dan
D
Zhang
Kun
K
D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation*; D003125:Colostomy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D013528:Surgical Staplers