Laparoscopic versus Open stoma creation: A retrospective analysis.

Area of Science:

• Surgical techniques
• Gastroenterology
• Minimally invasive surgery

Background:

• Stoma creation is a common surgical procedure.
• Comparing open stoma (OS) and laparoscopic stoma (LS) techniques is crucial for optimizing patient outcomes.
• Evaluating single-incision laparoscopic stoma (SILS) offers further insights into minimally invasive approaches.

Purpose of the Study:

• To compare open stoma (OS) creation with laparoscopic stoma (LS) creation.
• To analyze operation time, blood loss, time of oral intake, and complications.
• To compare multiport LS with single-incision laparoscopic stoma (SILS).

Main Methods:

• Retrospective review of 50 patients undergoing stoma creation (April 2014-April 2016).
• Data collected included demographics, diagnosis, indications, operative details, and complications.
• Comparison between OS, LS, multiport LS, and SILS groups.

Main Results:

• Laparoscopic stoma (LS) group showed significantly less blood loss (7.85±18.4 ml) compared to open stoma (OS) group (38.1±73.2 ml; P=0.02).
• No significant differences in operation time or time of oral intake between LS and OS groups.
• Peristomal skin issues were less frequent in the LS group (18.5%) than the OS group (47.8%).
• No significant differences between SILS and multiport LS in operation time, blood loss, or oral intake time.

Conclusions:

• Laparoscopic stoma (LS) is a viable alternative to open stoma (OS), offering comparable outcomes with reduced blood loss.
• LS is advantageous for patients needing biopsies or intra-abdominal inspection.
• Single-incision laparoscopic stoma (SILS) is a suitable minimally invasive technique when the stoma site is predetermined.