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Related Experiment Videos

Temporary colostomy in supralevator pelvic exenteration. A comparative study between stapled loop and loop colostomy

I De Wever1, M Van de Moortel, M Stas

  • 1Department of Surgery, Catholic University of Leuven, Belgium.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|February 1, 1996
PubMed
Summary

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A stapled loop colostomy is preferred after pelvic exenteration surgery. This method prevents fecal spillage, reducing complications like anastomotic leakage, unlike traditional loop colostomies.

Area of Science:

  • Surgical Oncology
  • Colorectal Surgery
  • Gastroenterology

Background:

  • Total supralevator pelvic exenteration with low rectal anastomosis often necessitates a temporary loop colostomy.
  • Anastomotic leakage is a significant concern in patients undergoing these complex procedures.

Purpose of the Study:

  • To compare the outcomes of two different types of temporary loop colostomies in patients undergoing total supralevator pelvic exenteration.
  • To determine the preferred method for loop colostomy creation to minimize complications.

Main Methods:

  • A cohort of 16 patients undergoing total supralevator pelvic exenteration was studied.
  • Eight patients received a standard loop colostomy, while the other eight had a functional terminal colostomy created using a TA 55 stapler on the efferent loop.

Related Experiment Videos

  • Outcomes including stoma refashioning and anastomotic leakage were compared.

    • Main Results:

    • Two patients with standard loop colostomies required refashioning due to fecal spillover and anastomotic leakage.
    • No refashioning was needed for the stapled functional terminal colostomy group.
    • No difficulties were reported during the closure of the stapled loop colostomies.

    Conclusions:

    • The stapled functional terminal colostomy is the preferred method for patients undergoing total supralevator pelvic exenteration with low rectal anastomosis.
    • This technique effectively eliminates fecal spillover, particularly crucial in the high-risk population with anastomotic leakage.