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Single-Incision Laparoscopic Ileostomy and Colostomy Creation

  • Deborah S. KellerEmail author
  • Daniel P. Geisler
Chapter

Abstract

While not necessary, an ileostomy or colostomy can be created laparoscopically. In cases where a stoma is planned, stoma creation is an ideal single-incision case, as placing the port through the predetermined stoma site leads to an “incisionless surgery.” If placed at the end of a procedure for protection or stand alone, reduced ports can be used to assist with safe entry, running the bowel, and assuring proper orientation. As in any operation, come prepared – know your patient, know the pathology, and be prepared to have a backup plan if the operation originally planned is not feasible. When there is flexibility in the stoma created, keep in mind that a loop ileostomy is usually the easiest stoma to maintain.

Keywords

Ileostomy Colostomy Stoma Diverting loop Incisionless surgery 

Supplementary material

Video 18.1

(MP4 462031 kb)

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Colorectal Surgery, Department of SurgeryBaylor University Medical CenterDallasUSA
  2. 2.Division of Colorectal Surgery, Department of SurgeryHouston Methodist HospitalHoustonUSA

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