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Related Experiment Video

Updated: May 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Scarless single-incision laparoscopic loop ileostomy: a novel technique.

Karen N Zaghiyan1, Zuri Murrell, Phillip R Fleshner

  • 1Division of Colorectal Surgery, Cedars Sinai Medical Center, Los Angeles, California, USA.

Diseases of the Colon and Rectum
|November 10, 2011
PubMed
Summary

Scarless single-incision laparoscopic loop ileostomy offers a feasible approach for fecal diversion. However, surgeons should proceed with caution due to a notable rate of stoma ischemia in this case series.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • Laparoscopic surgery is preferred over open surgery for intestinal stoma creation.
  • Single-incision laparoscopic surgery (SILS) offers potential benefits like improved cosmesis and reduced pain.
  • SILS may lead to faster recovery and fewer adhesions compared to conventional laparoscopy.

Purpose of the Study:

  • To introduce a novel technique for scarless single-incision laparoscopic loop ileostomy.
  • To evaluate the feasibility and outcomes of this technique in a small patient cohort.
  • To report the initial experience with this minimally invasive fecal diversion method.

Main Methods:

  • Retrospective case series design.
  • Inclusion of eight consecutive patients undergoing the procedure.

Related Experiment Videos

Last Updated: May 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

  • Data collection on operative time, blood loss, recovery, hospital stay, and complications.

    • Main Results:

    • Median operative time was 76 minutes with minimal blood loss (10 mL).
    • Median hospital stay was 7 days.
    • A 25% reoperation rate for stoma ischemia was observed, attributed to tight fascial openings or extensive manipulation. Other complications included ileus, obstruction, and cellulitis.

    Conclusions:

    • Scarless single-incision laparoscopic loop ileostomy is a viable option for fecal diversion.
    • The technique requires careful execution due to observed stoma ischemia rates.
    • Further investigation with larger sample sizes is warranted to confirm safety and efficacy.