Laparoscopic Leveling Colostomy for Colonic Aganglionosis

  • David CoyleEmail author
  • Karen A. Diefenbach


This chapter describes the surgical procedure for laparoscopic leveling colostomy for colonic aganglionosis as performed by the following approaches: open and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, equipment’s and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: safe access to the peritoneum, identification of the transition zone and leveling colonic biopsy, and formation of a loop colostomy.


Pediatric surgery Operative dictation Aganglionosis Leveling colostomy Transition zone 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Nationwide Children’s Hospital, Division of Pediatric SurgeryColumbusUSA
  2. 2.Nationwide Children’s HospitalColumbusUSA

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