Skip to main content

Minimally Invasive Approach for Stoma Creation

  • Chapter
  • First Online:
Minimally Invasive Approaches to Colon and Rectal Disease

Abstract

Laparoscopic stoma creation has become a favorable alternative to conventional open stoma construction, proving to be safe and effective. Laparoscopic techniques permit full visualization of the abdominal cavity, minimize surgical trauma, and afford the potential benefits of improved cosmesis, reduced pain, and a shorter recovery time. In this chapter, we will review the technical aspects of a laparoscopic stoma construction for both small and large bowel and through various minimally invasive approaches.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 149.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Zaghiyan KN, Murrell Z, Fleshner PR. Scarless single-incision laparoscopic loop ileostomy: a novel technique. Dis Colon Rectum. 2011;54(12):1542–6.

    Article  PubMed  Google Scholar 

  2. Lee S. Laparoscopic stoma formation. In: Milsom JW, Böhm B, Nakajima K, editors. Laparoscopic colorectal surgery. New York: Springer; 2006. p. 304–13.

    Chapter  Google Scholar 

  3. Orkin BA, Cataldo PA. Intestinal stomas. In: Wolff BG, Fleshman JW, Beck DE, Pemberton JH, Wexner SD, Church JM, et al., editors. ASCRS textbook colon rectal surgery. New York, NY: Springer; 2007. p. 622–42.

    Chapter  Google Scholar 

  4. Sands LR, Marchetti F. Intestinal stomas. In: Beck DE, Roberts PL, Saclarides TJ, Senagore AJ, Stamos MJ, Wexner SD, editors. ASCRS textbook colon rectal surgery. New York, NY: Springer; 2011. p. 517–33.

    Chapter  Google Scholar 

  5. Hollyoak MA, Lumley J, Stitz RW. Laparoscopic stoma formation for faecal diversion. Br J Surg. 1998;85(2):226–8.

    Article  CAS  PubMed  Google Scholar 

  6. Young CJ, Eyers AA, Solomon MJ. Defunctioning of the anorectum: historical controlled study of laparoscopic vs. open procedures. Dis Colon Rectum. 1998;41(2):190–4.

    Article  CAS  PubMed  Google Scholar 

  7. Liu J, Bruch HP, Farke S, Nolde J, Schwandner O. Stoma formation for fecal diversion: a plea for the laparoscopic approach. Tech Coloproctol. 2005;9(1):9–14.

    Article  CAS  PubMed  Google Scholar 

  8. Oliveira L, Reissman P, Nogueras J, Wexner SD. Laparoscopic creation of stomas. Surg Endosc. 1997;11(1):19–23.

    Article  CAS  PubMed  Google Scholar 

  9. Nguyen HML, Causey MW, Steele SR, Maykel JA. Single-port laparoscopic diverting sigmoid colostomy. Dis Colon Rectum. 2011;54(12):1585–8.

    Article  PubMed  Google Scholar 

  10. Atallah S, Albert M, Larach S. Technique for constructing an incisionless laparoscopic stoma. Tech Coloproctol. 2011;15(3):345–7.

    Article  CAS  PubMed  Google Scholar 

  11. Schwandner O, Schiedeck TH, Bruch HP. Stoma creation for fecal diversion: is the laparoscopic technique appropriate? Int J Colorectal Dis. 1998;13(5–6):251–5.

    Article  CAS  PubMed  Google Scholar 

  12. Li M, Xiao L, Wu W, Yang S, Li S. Meta-analysis of laparoscopic versus open colorectal surgery within fast-track perioperative care. Dis Colon Rectum. 2012;55(7):821–7.

    Article  PubMed  Google Scholar 

  13. Hammond TM, Huang A, Prosser K, Frye JN, Williams NS. Parastomal hernia prevention using a novel collagen implant: a randomised controlled phase 1 study. Hernia. 2008;12(5):475–81.

    Article  CAS  PubMed  Google Scholar 

  14. Serra-Aracil X, Bombardo-Junca J, Moreno-Matias J, Darnell A, Mora-Lopez L, Alcantara-Moral M, et al. Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia. Ann Surg. 2009;249(4):583–7.

    Article  PubMed  Google Scholar 

  15. Jänes A, Cengiz Y, Israelsson LA. Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. Br J Surg. 2004;91(3):280–2.

    Article  PubMed  Google Scholar 

  16. Shabbir J, Chaudhary BN, Dawson R. A systematic review on the use of prophylactic mesh during primary stoma formation to prevent parastomal hernia formation. Colorectal Dis. 2012;14(8):931–6.

    Article  CAS  PubMed  Google Scholar 

  17. Janson AR, Jänes A, Israelsson LA. Laparoscopic stoma formation with a prophylactic prosthetic mesh. Hernia. 2010;14(5):495–8.

    Article  CAS  PubMed  Google Scholar 

  18. López-Cano M, Lozoya-Trujillo R, Quiroga S, Sánchez JL, Vallribera F, Martí M, et al. Use of a prosthetic mesh to prevent parastomal hernia during laparoscopic abdominoperineal resection: a randomized controlled trial. Hernia. 2012;16(6):661–7.

    Article  PubMed  Google Scholar 

  19. Beck D, Fleshman J, Wexner S, Ellis N, Bauer J, Hyman N, Fleshner P. A prospective, multicenter, randomized, controlled, third party-blinded study of Strattice® fascial inlay for parastomal reinforcement in patients undergoing surgery for permanent abdominal wall ostomies. Podium abstract and presentation at ASCRS meeting; 2013.

    Google Scholar 

  20. Lavery IC. Techniques of Colostomy construction and closure. In: Fisher JE, Bland KI, Callery MP, Clagett GP, Jones DB, etitors. Mastery of surgery. Philadelphia, PA: Lippincott Williams and Willcott; 2007;1439–1448.

    Google Scholar 

  21. Byrn J. Laparoscopic colostomy. In: Soper NJ, Scott-Conner C, editors. The SAGES Manual: Volume 1 Basic Laparoscopy and Endoscopy. New York, NY: Springer; 2012;403–412.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Phillip Fleshner M.D. .

Editor information

Editors and Affiliations

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Single-port laparoscopic ileostomy (MOV 192,380 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Felder, S.I., Murrell, Z., Fleshner, P. (2015). Minimally Invasive Approach for Stoma Creation. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_15

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics