Standardized technique for single-incision laparoscopic-assisted stoma creation

Area of Science:

• Minimally invasive surgery
• Surgical oncology
• Gastrointestinal surgery

Background:

• Transverse colostomy is a common surgical procedure.
• Minimally invasive techniques aim to reduce patient morbidity.
• Single-incision laparoscopic surgery offers potential cosmetic and functional benefits.

Observation:

• A standardized single-incision laparoscopic-assisted stoma creation (SILStoma) technique was developed.
• Twelve patients underwent SILStoma for transverse colostomy.
• Most cases (9/12) required no additional ports; 3 required 1-2 additional 5-mm ports.

Findings:

• SILStoma was successfully completed in all cases at the preoperatively marked site.
• No intraoperative or postoperative complications greater than Grade II (Clavien-Dindo) were reported.
• Four cases of superficial surgical site infection were managed conservatively; all resolved.
• Bowel function resumed between postoperative days 1 and 2 in all patients.

Implications:

• SILStoma is a viable and effective minimally invasive option for transverse colostomy.
• The technique avoids large skin incisions, potentially improving cosmetic outcomes.
• Further research may explore broader applications of SILStoma in various stoma procedures.