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Related Experiment Video

Updated: Jul 5, 2026

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
08:20

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Published on: July 12, 2018

Laparoscopic-assisted colostomy in children.

Claudio De Carli1, Marcos Bettolli, Carl-Christian Jackson

  • 1Division of Pediatric Surgery, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|May 28, 2008
PubMed
Summary
This summary is machine-generated.

Laparoscopic-assisted colostomy (LAC) is a safe and effective technique for children, reducing stoma complications. This initial pediatric experience shows promising results with no reported complications.

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Area of Science:

  • Pediatric surgery
  • Minimally invasive surgery
  • Gastrointestinal surgery

Background:

  • Colostomy procedures carry a high morbidity risk, up to 50%.
  • Laparoscopic-assisted colostomy (LAC) in adults is linked to fewer complications.
  • LAC has not been previously documented in pediatric patients.

Purpose of the Study:

  • To report the initial experience and outcomes of performing LAC in pediatric patients.
  • To evaluate the safety and efficacy of LAC in neonates and infants.

Main Methods:

  • LAC was performed using a two- to four-port (3.5-mm) technique.
  • The study included a female infant with imperforate anus and two male infants with Hirschsprung's disease.
  • Data collected included operative time, bowel function recovery, and morbidity, with close follow-up until stoma closure.

Main Results:

  • Operative times were 144 minutes for Hirschsprung's disease patients and 40 minutes for the imperforate anus patient.
  • Median time to flatus and stool passage was 40 hours; median time to commence feeds was 40 hours.
  • No complications were reported during a median follow-up of 3 months.

Conclusions:

  • Laparoscopic-assisted colostomy is safe and feasible in neonates and infants.
  • LAC allows for precise stoma placement and orientation, with added benefits for bowel mobilization in Hirschsprung's disease.
  • The technique appears to prevent stoma-related complications, warranting further prospective evaluation.