Abstract |
Single-port laparoscopic surgery is usually performed on patients with minor comorbidities. The aim of the study was to evaluate feasibility and efficacy of single-port fecal diversion in patients who had previous abdominal operations or comorbidities. Between October 2010 and March 2012, 14 patients with a median age of 57 years were diverted. The reasons for diversion were perianal infection/ abscess (n=5), anal incontinence (n=3), radiation proctitis (n=2), colovesical fistula causing sepsis (n=1), outlet obstruction of ileal S pouch (n=1), perforation during pouchoscopy (n=1), and peritoneal carcinomatosis with enterocutaneus fistula (n=1). Median estimated blood loss was 20 mL, operative time was 52 minutes, and length of hospital stay was 4 days. Two patients had ileus postoperatively. One patient had a parastomal hernia 4 months after diversion. Single-port laparoscopic fecal diversion is a safe and feasible operation for patients with significant comorbidities and a history of multiple abdominal operations.
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Authors | Erman Aytac, Luca Stocchi, Ryan Williams, Feza H Remzi, Meagan M Costedio |
Journal | Surgical laparoscopy, endoscopy & percutaneous techniques
(Surg Laparosc Endosc Percutan Tech)
Vol. 24
Issue 4
Pg. e133-6
(Aug 2014)
ISSN: 1534-4908 [Electronic] United States |
PMID | 24710240
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Colostomy
(methods)
- Feasibility Studies
- Female
- Follow-Up Studies
- Humans
- Laparoscopes
- Laparoscopy
(methods)
- Length of Stay
(trends)
- Male
- Middle Aged
- Operative Time
- Patient Satisfaction
- Prospective Studies
- Surgical Stomas
- Treatment Outcome
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