No-trocar laparoscopic stoma creation
| Autor: | Henrik Jakobsen, Thomas Harvald, Jacob Rosenberg |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
digestive system Diverticulitis Colonic Abdominal wall Fatal Outcome Pneumoperitoneum Stoma (medicine) Stoma site Colon Sigmoid medicine Terminal ileum Humans Abscess Aged 80 and over business.industry Ileostomy Sigmoid colon Diverticulitis medicine.disease digestive system diseases Surgery surgical procedures operative medicine.anatomical_structure Female Laparoscopy business Pneumoperitoneum Artificial |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 16(2) |
| ISSN: | 1530-4515 |
| Popis: | Creation of an intestinal stoma may be necessary in a wide variety of colorectal diseases of both benign and malignant character. Open and laparoscopic techniques can be used for the fecal diversion. We report a case of a patient with a diverticulitis of the sigmoid colon with abscess formation and fistulation to the abdominal wall and vagina. Owing to severe comorbidity, a permanent fecal diversion was prepared. We performed a laparoscopic no-trocar technique. Only 1 incision, at the planned stoma site, was used. The abdominal wall was elevated with gaspers, no pneumoperitoneum or trocars were used. The laparoscope and reuseable laparoscopic graspers were introduced through the stoma site to correctly identify and grasp a loop of the terminal ileum. Finally, the loop ileostomy was placed on a bar. This laparoscopic technique is a valid alternative to standard laparoscopic stoma creation. Different techniques for stoma creation are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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