Standardized technique for single port laparoscopic ileostomy and colostomy

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Single-site laparoscopic surgery offers advantages in minimizing incisions.
• Stoma formation, such as ileostomy or colostomy, can be adapted to single-site techniques.
• Utilizing a single incision for stoma creation can reduce surgical trauma and improve cosmesis.

Purpose of the Study:

• To describe a standardized single-port laparoscopic technique for loop stoma formation.
• To evaluate the feasibility and outcomes of this approach in a series of patients.
• To highlight the benefits of single-incision stoma siting for ileostomy and colostomy.

Main Methods:

• A glove port technique was used to establish a single laparoscopic access point.
• The procedure involved stepwise, standardized principles for defunctioning loop stoma formation.
• No specialized instrumentation beyond standard laparoscopic equipment was required.

Main Results:

• The technique provided excellent intraoperative visualization of the bowel segment.
• Direct visual control during exteriorization prevented twisting of the stoma.
• Patients experienced minimal abdominal wall trauma, facilitating recovery and stoma care education.

Conclusions:

• Single-incision stoma siting is a practical and reliable method for diversionary ileostomies and colostomies.
• This approach significantly reduces operative trauma for patients.
• The technique is robust and reproducible, offering a valuable option for stoma creation.