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Laparoscopic techniques for fecal diversion

K A Ludwig1, J W Milsom, A Garcia-Ruiz

  • 1Cleveland Clinic Foundation, Department of Colorectal Surgery, Cleveland, Ohio, 44195, USA.

Diseases of the Colon and Rectum
|March 1, 1996
PubMed
Summary
This summary is machine-generated.

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Laparoscopic fecal diversion procedures are safe and effective, offering advantages like avoiding laparotomy and faster bowel function recovery. This minimally invasive approach is well-suited for stoma creation.

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Oncology

Background:

  • Laparoscopic techniques are increasingly adopted in gastrointestinal surgery.
  • The role of laparoscopy in major colorectal resections remains debated.
  • Fecal diversion procedures, requiring minimal dissection, may be suitable for laparoscopic approaches.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic stoma procedures.
  • To assess the feasibility of laparoscopic fecal diversion in a clinical setting.

Main Methods:

  • A two-cannula technique was used for 24 laparoscopic fecal diversion procedures.
  • Procedures included loop ileostomies and end/loop colostomies.
  • Indications comprised rectovaginal fistula, sepsis, incontinence, carcinoma, and pelvic infection.

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Main Results:

  • Median operative time was 60 minutes with minimal blood loss.
  • No intraoperative complications occurred; one conversion to laparotomy due to adhesions.
  • Stomas functioned well, with rapid return of bowel function and no required revisions.

Conclusions:

  • Laparoscopic fecal diversion is a safe, simple, and effective surgical option.
  • Advantages include avoiding laparotomy and enabling precise bowel segment identification.
  • This technique facilitates a rapid return of bowel function post-procedure.