Related Experiment Video
Updated: Jun 5, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Circular stapler-assisted extraperitoneal colostomy
Ju Wang1, Zhongxia Dou, Tianfu Wang
1Department of Colon and Anal Surgery, The First Hospital, Jilin University, Changchun, China. wangju_86@163.com
Aims:
To report and evaluate the clinical value of circular stapler-assisted extraperitoneal colostomy.
Methods:
We performed circular stapler-assisted extraperitoneal colostomy following Miles' operation in 22 patients over a 2-year period from March 2007 to March 2009. The efficiency and safety of the operation were evaluated.
Results:
The length of surgery was 15 ± 5 min, and all the colostomies were successfully completed during the first procedure. No complications such as anastomotic infections, hemorrhage, necrosis, or invagination occurred after surgery. No scar contraction, stoma stenoses, intestinal obstructions, or parastomal hernias were found during the follow-up period of 24-72 months. All the colostomies functioned well.
Conclusion:
Circular stapler-assisted extraperitoneal colostomy can be a safe and effective procedure to improve the outcome of surgery for rectal cancer. This is one of the few studies attempting stapled colostomy, and at present the technique appears promising but warrants a longer follow-up period and additional study, in particular a prospective trial including a control group.
Related Concept Videos
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
