Abstract
【Introduction】In palliative stoma creation, it is important to reduce surgical invasiveness and maintain the patientʼs quality of life (QOL). We evaluated the feasibility of single-incision laparoscopic stoma construction for locally advanced colorectal cancer.
【Materials and methods】Between 2007 and 2014, we performed 49 palliative colostomies or ileostomies for locally advanced colorectal cancer with primary tumor-related symptoms. These were divided into two groups: the single-incisional laparoscopic surgery group (S group, n=22) and the open surgery group (O group, n=27). We retrospectively evaluated clinical data from these two groups.
【Results】The median operating time was significantly different between the two groups (S: 92min, O: 142min, p<0.01). The median incisional length, except at the stoma site, differed between the two groups (S: 0mm, O: 150mm, p<0.01). The levels of CRP on 1POD and 7POD were significantly lower in the S group (1POD: p<0.01, 7POD: p=0.05, respectively). The rate of stoma-related complications was significantly lower in the S group (S: 0％, O: 18.5％).
【Conclusion】In palliative stoma construction, single-incisional laparoscopic surgery may contribute toward maintaining the QOL of patients with cancer.
