Laparoscopic loop ileostomy with a single-port stab incision technique.
Loop ileostomy is an effective means of temporary fecal diversion. It is technically easy to create and manage. Moreover, ileostomy closure does not require a formal laparotomy. With the advent of laparoscopy, many of these loop ileostomies are being performed with laparoscopic assistance. Studies have proved the beneficial effects of laparoscopically created loop ileostomy for fecal diversion. Techniques for performing laparoscopic loop ileostomy have been described using two or more 10- to 12-mm ports with Hassan's technique at the umbilical site for pneumoperitoneum creation. We describe a modified technique, wherein pneumoperitoneum is created using a 10-mm port at the site of the future ileostomy, and a second 5-mm port is placed under vision at the umbilical site. This procedure requires minimal intervention and a reduced pneumoperitoneum time. Since the umbilical port site is 5 mm, it does not require closure, and it also reduces the chances of port-site hernia, formation, patient discomfort and scarring. Because intervention is minimally invasive, operative time is reduced, and there is less of chance postoperative ileus and adhesion formation.
Subhas
G
G
Department of Surgery, Providence Hospital and Medical Centers, 16001 W. Nine Mile Road, Southfield, MI 48075, USA. drsgokul@yahoo.com
Kim
E
E
Gupta
A
A
Mittal
V K
VK
Mckendrick
A
A
D006801:Humans; D007081:Ileostomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*