Stoma Construction: Single-Port Laparoscopic Approach

  • Seth FelderEmail author
  • Phillip Fleshner


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 shorter recovery time. The indications for laparoscopic stoma formation do not differ from those of open surgery. A variety of intestinal sites may be chosen for stoma formation, although the terminal ileum and sigmoid colon are most commonly used. While stomas are created traditionally with a formal laparotomy, more recently there have been many other means of creative and minimally invasive techniques that are now used to create a stoma. Laparoscopy has emerged as a frontrunner in stoma creation because of the minimally invasive technique and the rather quick patient recovery. Many surgeons now believe that this should be the primary means of stoma creation. In this chapter, we will review general principles of stoma creation and describe the single-port laparoscopic approach in detail.


Stoma Construction Single port laparoscopic approach Colorectal surgery 

Supplementary material

Video 24.1

Exploration and identification of bowel (MP4 59795 kb)

Video 24.2

Marking of stoma site (MP4 45333 kb)


  1. 1.
    Zaghiyan KN, Murrell Z, Fleshner PR. Scarless single-incision laparoscopic loop ileostomy: a novel technique. Dis Colon Rectum. 2011;54(12):1542–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Lee S. Laparoscopic colorectal surgery. 2nd ed. New York: Springer Science + Business Media; 2006. p. 304–13. Chapter 10, Laparoscopic Stoma Formation.CrossRefGoogle Scholar
  3. 3.
    Hollyoak MA, Lumley J, Stitz RW. Laparoscopic stoma formation for faecal diversion. Br J Surg. 1998;85(2):226–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Hellinger MD, Martinez SA, Parra-Davila E, Yeguez J, Sands LR. Gasless laparoscopic-assisted intestinal stoma creation through a single incision. Dis Colon Rectum. 1999;42(9):1228–31.CrossRefPubMedGoogle Scholar
  5. 5.
    Oliveira L, Reissman P, Nogueras J, Wexner SD. Laparoscopic creation of stomas. Surg Endosc. 1997;11(1):19–23.CrossRefPubMedGoogle Scholar
  6. 6.
    Stephenson Jr ER, Ilahi O, Koltun WA. Stoma creation through the stoma site: a rapid, safe technique. Dis Colon Rectum. 1997;40(1):112–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Colorectal SurgeryCedars-Sinai Medical CenterLos AngelesUSA

Personalised recommendations