title: Extraperitoneal colostomy in laparoscopic abdominoperineal resection using a laparoscopic retractor.
abstract: Although extraperitoneal colostomy is often performed to prevent postoperative parastomal hernia formation following an open abdominoperineal resection of lower rectal cancer, it has not been widely employed laparoscopically because of the difficulty associated with the extraperitoneal route. This paper describes a laparoscopic extraperitoneal sigmoid colostomy using the Endo Retract™ Maxi instrument. This surgical technique is easy, and helps to prevent the development of parastomal hernias.
authors.affiliation: Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. akamoto@med.kagawa-u.ac.jp
authors.forename: Shintaro
authors.initials: S
authors.lastname: Akamoto
authors.forename: Seiji
authors.initials: S
authors.lastname: Noge
authors.forename: Jun
authors.initials: J
authors.lastname: Uemura
authors.forename: Norikatsu
authors.initials: N
authors.lastname: Maeda
authors.forename: Minoru
authors.initials: M
authors.lastname: Ohshima
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Kashiwagi
authors.forename: Naoki
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Masao
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yachida
authors.forename: Takehiro
authors.initials: T
authors.lastname: Takama
authors.forename: Masanobu
authors.initials: M
authors.lastname: Hagiike
authors.forename: Keiichi
authors.initials: K
authors.lastname: Okano
authors.forename: Hisashi
authors.initials: H
authors.lastname: Usuki
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000005:Abdomen / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy / Q000295:instrumentation* / Q000379:methods*; D006555:Hernia, Ventral / Q000517:prevention & control*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D010502:Perineum / Q000601:surgery*; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*