This journal only 2006, Number 4 Cir Gen 2006; 28 (4) Experience with laparoscopic colostomy Jan D, Petra G, Lubomír M, Igor G, Miloslav M Full text How to cite this article Language: Spanish References: 16 Page: 234-237 PDF size: 64.22 Kb. Key words: Laparoscopic colorectal surgery-colostomy. ABSTRACT Objective: Present our experience, indications, contraindications, to describe the procedure and advantages of laparoscopic elective colostomy. Setting: Ostrava Surgical clinic, third level health care hospital. Design: Prospective, longitudinal, descriptive. Statistical Analysis: Measures of central tendency. Patients and method: From January 2001 to December 2005, 36 patients of a mean age 66 (43-80) years (16 female, 20 male) underwent elective laparoscopic colostomy. Patients with unresectable colorectal tumor (28 patients), patients with fecal incontinence (7 patients) and 1 patient with haemorrhoids of the 4th stage were indicated. Operating time, number of conversions, intraoperative and postoperative complications and length of postoperative hospitalization were followed. In the postoperative period we followed recovery of bowel function and oral nutrition. Results: No intraoperative complications arose, no conversion was necessary. Median operative time was 50 (20-120) minutes. First bowel movement was on average 1, 5 (1-3) days, the first stool was on average the 3rd postoperative day (1-8 days). Patients were started on a liquid diet on average the 2nd postoperative day (1-4 days). Mean length of postoperative hospitalization was 9,6 (1-25) days. During postoperative period 3 complications occurred. 2 patients died due to tumor progression. Conclusion: Laparoscopic creation of colostomy means quick, simple and safe derivating operation. This procedure should be preferred in most patients indicated to elective colostomy. REFERENCES Vávra P, Zona P, Pelikán A, Malý T, Rydlová M. The safe distance of the lower resection line in surgery for rectal cancer in the dependence on grading, staging and typing of the tumor. 8th Biennial Congress European Council of Coloproctology. Proctologia supplement No1/2001. Lange V, Meyer G, Schardey HM, Schildberg FW. Laparoscopic creation of a loop colostomy. J Laparoendosc Surg 1991; 1: 307-312. Martínek L, Dostalík J. Laparoskopická kolostomie. Rozhl Chir 2002; 81: 320-323. Roe AM, Barlow AP, Durdey P, Eltringham WK, Espiner HJ. Indications for Laparoscopic Formation of Intestinal Stomas. Surg Laparosc Endosc 1994; 4: 345-347. Sprangers MAG, Taal BG, Aaronson NK, te Velde A. Quality of life in colorectal cancer: stoma vs nonstoma patients. Dis Colon Rectum 1995; 38: 361-369. De la Fuente SG, Levin LS, Reynolds JD, et al. Elective stoma construction improves outcomes in medically intractable pressure ulcers. Dis Colon Rectum 2003; 46: 1525-1530. Schlemminger R, Neufang T, Leister I, Becker H. Laparoskopische Stomaanlage. Chirurg 1999; 70: 656-661. Ludwig KA, Milsom JW, Garcia- Ruiz A, Fazio VW. Laparoscopic techniques for fecal diversion. Dis Colon Rectum 1996; 39: 285-288. Dostalík J, Martínek L, Vávra P, Andl P, Gunka I, Guková P. Laparoscopic colorectal surgery in obese patients. Obes Surg 2005; 15: 1328-31. Manger T. Laparoscopic stoma technique. Zentrabl Chir 1999; 124 Suppl. 2: 3-5. Oliviera L, Reissman P, Nogueras J, Wexner SD. Laparoscopic creation of stomas. Surg Endosc 1997; 11: 19-23. Liu J, Bruch HP, Farke S, Nolde J, Schwandner O. Stoma formation for fecal diversion: a plea for the laparoscopic approach. Tech Coloproctol 2005; 9: 9-14. Hollyoak MA, Lumley J, Stitz RW. Laparoscopic stoma formation for faecal diversion. Br J Surg 1998; 85: 26-228. Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg 2003; 90: 784-793. Lyerly HK, Mautt JR. Laparoscopic ileostomy and colostomy. Ann Surg 1994; 219: 317-322. Dostalík J. Laparoskopická kolorektální chirurgie. 1. vyd. Beclav, Presstempus, 2004, ISBN 80-903350-3-9, p. 84-88.