Extraperitoneal colostomy in laparoscopic abdominoperineal resection using a laparoscopic retractor.

Abstract

Although extraperitoneal colostomy is often performed to prevent postoperative parastomal hernia formation following an open abdominoperineal resection of lower rectal cancer, it has not been widely employed laparoscopically because of the difficulty associated with the extraperitoneal route. This paper describes a laparoscopic extraperitoneal sigmoid colostomy using the Endo Retract™ Maxi instrument. This surgical technique is easy, and helps to prevent the development of parastomal hernias.

• Authors: Shintaro Akamoto, Seiji Noge, Jun Uemura, Norikatsu Maeda, Minoru Ohshima, Hirotaka Kashiwagi, Naoki Yamamoto, Masao Fujiwara, Shinichi Yachida, Takehiro Takama, Masanobu Hagiike, Keiichi Okano, Hisashi Usuki, Yasuyuki Suzuki
• Journal: Surgery today (Surg Today) Vol. 43 Issue 5 Pg. 580-2 (May 2013) ISSN: 1436-2813 [Electronic] Japan
• PMID: 23124709 (Publication Type: Journal Article, Review)

Topics

• Abdomen (surgery)
• Colon, Sigmoid (surgery)
• Colostomy (instrumentation, methods)
• Hernia, Ventral (prevention & control)
• Humans
• Laparoscopy (instrumentation, methods)
• Perineum (surgery)
• Peritoneum (surgery)
• Postoperative Complications (prevention & control)
• Rectal Neoplasms (surgery)
• Rectum (surgery)