Single-incision laparoscopic stoma creation: experience with 31 consecutive cases.

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Fecal diversion is performed using various surgical techniques.
• Patient selection is influenced by the advantages of each technique.
• This study reports experience with single-incision laparoscopic stoma creation.

Purpose of the Study:

• To evaluate the effectiveness of single-incision laparoscopic stoma creation.
• To assess the feasibility of using only the stoma site for port access.

Main Methods:

• A 2.5-cm incision was made at the stoma site for trocar placement.
• Intra-abdominal exploration and bowel mobilization were performed.
• The intestinal loop was brought to the stoma site and matured using standard techniques.

Main Results:

• 31 patients underwent single-incision laparoscopic stoma creation (ileostomy or colostomy).
• No intraoperative complications occurred; 6.5% required additional ports or conversion to open laparotomy.
• Postoperative complications included peristomal ileus and dehydration in 6.5% of patients.

Conclusions:

• Single-incision laparoscopic stoma creation is an effective technique.
• It allows for full intra-abdominal visualization and bowel mobilization.
• This approach minimizes the need for additional skin incisions.