title: [A study of laparoscopic stoma creation for patients with malignant bowel obstruction].
abstract: We evaluated the efficacy of laparoscopic palliative stoma creation for patients with malignant bowel obstruction (MBO).
  
  
  METHODS
  Twenty-four patients with MBO who underwent laparoscopic stoma creation between January 2009 and December 2012 were studied and their clinical outcome was evaluated retrospectively.
  
  
  RESULTS
  Compared to the open approach, the laparoscopic approach led to significantly shorter operation times and a significantly lower incidence of surgical site infection( SSI). The rate of removal of the intestinal tube and intravenous drip after surgery was 100% and 88%, respectively, and the rate of oral intake was 100% after palliative stoma creation. The prognosis was 58% in 3 months and 29% in 1 year, and the median survival time was approximately 4 months.
  
  
  CONCLUSIONS
  The quality of surgery by the laparoscopic approach was better than that by the open approach, and the quality of life( QOL) after stoma creation was better than that before surgery. Given the shorter operation time, lower incidence of SSI, and better QOL, laparoscopic stoma creation is a beneficial choice for palliative treatment in patients with MBO.
authors.affiliation: Dept. of Surgery, Sakai City Hospital.
authors.forename: Ken
authors.initials: K
authors.lastname: Nakata
authors.forename: Mutsumi
authors.initials: M
authors.lastname: Fukunaga
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ebihara
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Kato
authors.forename: Kouji
authors.initials: K
authors.lastname: Amano
authors.forename: Akihito
authors.initials: A
authors.lastname: Babaya
authors.forename: Ako
authors.initials: A
authors.lastname: Matsushita
authors.forename: Haruna
authors.initials: H
authors.lastname: Furukawa
authors.forename: Yuko
authors.initials: Y
authors.lastname: Matsushima
authors.forename: Hironori
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Shinichi
authors.initials: S
authors.lastname: Fujihara
authors.forename: Ryohei
authors.initials: R
authors.lastname: Kawabata
authors.forename: Akihiro
authors.initials: A
authors.lastname: Usui
authors.forename: Tameyoshi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Oda
authors.forename: Tomono
authors.initials: T
authors.lastname: Kawase
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kimura
authors.forename: Yasuki
authors.initials: Y
authors.lastname: Nakata
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohzato
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications* / Q000532:radiotherapy; D010166:Palliative Care; D011788:Quality of Life; D012189:Retrospective Studies; D054047:Surgical Stomas