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[Single-port laparoscopic stoma creation for fecal diversion - experience of ten consecutive patients]
Ryoma Yagi1, Hitoshi Kameyama, Mae Nakano
1Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
Purpose:
In the present study, we aimed to describe the surgical results of single-port laparoscopic stoma creation in our institution.
Methods:
We examined the safety of the surgical procedure and short-term results in 10 consecutive patients who underwent single-port laparoscopic stoma creation at our hospital between April 2011 and July 2013.
Results:
The median age of the patients was 60.5 (range, 31-75) years. Five patients were men, and 5 were women. There were 5 cases of colorectal cancer, 2 each of extramammary Paget's disease and uterine cancer, and one of perineal neurofibroma. Eight surgeries were performed for bowel obstruction or stenosis, and two surgeries were performed for other reasons. The median operative time was 59.5 (range, 40-91) min, blood loss volume was 0 (range, 0-10) mL, postoperative duration before commencement of oral intake was 2.5 (range, 1-4) days, and duration of postoperative hospital stay was 11(range, 5-19) days. No short-term complications were noted after the surgery.
Conclusion:
Single-port laparoscopic stoma creation appears to be feasible in terms of safety and short-term surgical results, and may improve the quality of life of patients requiring fecal diversion.
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