Clinical prospects for laparoscopic stoma closure of a temporary loop ileostomy: Initial experience and report.
closure of stoma
ileostomy
laparoscopic surgery
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
29
11
2019
revised:
29
12
2019
accepted:
22
01
2020
pubmed:
18
2
2020
medline:
19
8
2021
entrez:
18
2
2020
Statut:
ppublish
Résumé
In closure of a stoma, the small working space and adhesions hinder a precise surgical procedure, compared with conventional approaches to digestive surgery. The aim of this prospective study was to introduce a new technique of laparoscopic stoma closure (LASC). After starting with three trocars, it is a priority to dissect around the arising ileum; a linear stapler is precisely inserted in both orifices of the loop stoma and applied two times, extracorporeally. Ultimately, both the oral and anal sides of the loop ileum are cut and closed using a linear cutter stapler in a delta-shaped manner just under the abdominal wall, intracorporeally. Eventually, the arising stoma is removed using an intra-abdominal and cutaneous approach. LASC for patients with a temporary loop ileostomy is safe and feasible. More data and experience will be required to verify the benefits of this new technique.
Identifiants
pubmed: 32066199
doi: 10.1111/ases.12790
pmc: PMC7687255
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
618-621Subventions
Organisme : Ministry of Education, Culture, Sports, Science and Technology of Japan
ID : 18K08687
Informations de copyright
© 2020 The Authors. Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
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