Surgical Techniques for Laparoscopic Stoma Formation in Colorectal Surgery

Abstract

Laparoscopic stoma formation in colorectal surgery effectively facilitates stoma care. Essential points of our surgical technique include:(1)port placement outside the faceplate area; (2)port placement within the oval skin incision for the stoma; and (3)laparoscopically-assisted extraperitoneal route formation. Eight patients undergoing this procedure had no early postoperative complications; however, two patients underwent reoperation due to late postoperative complications, including recurrent internal hemia and incarcerated parastomal hemia. The intraabdominal route was used to construct the illeostomy in both cases. Although laparoscopic stoma formation in colorectal surgery has simplified stoma care by devising port site arrangements, it is associated with a higher risk of internal hernia due to reduced intraabdominal adhesion. These findings support use of the extraperitoneal route in laparoscopic stoma formation.