Abstract
86 cases of intestinal end stoma who underwent preoperative stomal site marking using the procedure employed in the Cleveland Clinic were retrospectively reviewed to evaluate the usefulness of this procedure. The following 10 clinical factors were assessed；1） creation of stoma within the rectus abdominis muscle（yes,no）,2）incidence of stomal complication,3）siting on top of the abdomen （yes,no）,4）grade of patient's self stomal care,5）status of crease/hold in the peristomal area,6）occurrence site of the crease/hold,7）height of stoma,8）hardness of abdominal wall,9）smooth surface in peristomal skin for stomal appliance（yes,no）and 10）length from navel and bony prominences.
Based on the results,we concluded that 1）the rectus abdominis muscle and patient's ability to see the stoma site are important factors,2）procedure to avoid the bony prominences and/or crease/hold,and siting below the umbilicus level must be modified,and 3）siting on top of the abdomen is unneccessary.
