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[Laparoscopic sigmoidectomy]

H H Wasmuth1, R Bergamaschi, B Alstad

  • 1Kirurgisk avdeling, Regionsykehuset i Trondheim.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 12, 1998
PubMed
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Laparoscopic sigmoidostomy offers a safe alternative for fecal diversion, avoiding traditional surgical incisions. This minimally invasive technique proved effective in eight patients for various indications, with no complications.

Area of Science:

  • Minimally Invasive Surgery
  • Colorectal Surgery
  • Surgical Oncology

Context:

  • Traditional trephine stoma construction can be associated with complications.
  • Laparoscopic surgery offers potential advantages in abdominal procedures.
  • Faecal diversion is necessary for several complex colorectal conditions.

Purpose:

  • To evaluate the safety and efficacy of laparoscopic sigmoidostomy for faecal diversion.
  • To compare laparoscopic sigmoidostomy with traditional trephine stoma construction.

Summary:

  • Eight patients underwent laparoscopic sigmoidostomy (two end-sigmoidostomies, six loop sigmoidostomies) for indications including pelvic carcinoma, perianal fistulas, and fecal incontinence.
  • The procedure utilized three to four ports, involving sigmoid colon mobilization and exteriorization through the abdominal wall.

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  • No operative complications were observed, and all stomas functioned effectively, demonstrating the feasibility of the laparoscopic approach.

    • Impact:

    • Laparoscopic sigmoidostomy provides a safe and effective alternative to open surgical techniques for faecal diversion.
    • This approach allows for intra-abdominal exploration and colonic mobilization without the need for a large midline incision.
    • Potential for reduced patient recovery time and improved cosmesis compared to open procedures.