Mustafa Celalettin HAKSAL, NURİ OKKABAZ, MEHMET ŞEKER, Nuri Emrah GÖRET, YUNUS EMRE ALTUNTAŞ, Cengiz EROL, Mustafa ÖNCEL

Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study

INTRODUCTION: We aimed to compare the outcomes of no-laparotomy and conventional diverting colostomy techniques and to describe the process and benefits of using preoperative imaging tools in no-laparotomy procedure. METHODS: Patients intended to receive no-laparotomy diverting colostomy, have preoperative imaging tools of 3D computerized tomography and X-ray examinations in order to predict the best location for the stoma construction. The perioperative outcomes in these cases were compared with those obtained from the patients operated with conventional diverting colostomy with laparotomy at another institution. RESULTS: Eighteen and 16 patients had a diverting colostomy with no-laparotomy technique after preoperative assessment, and conventional procedure. Demographics and most of the patient- and procedure-related factors were similar. Length of incision, (4.8±0.8 vs. 13.3±1.9cms, p

Preoperatif Görüntüleme Kılavuzluğunda Laparotomisiz ve Klasik Saptırıcı Kolostomi: Çok Merkezli Vaka Kontrol Çalışması

GİRİŞ ve AMAÇ: Geleneksel saptırıcı kolostomi tekniği ile laparotomisiz kolostomi tekniklerini karşılaştırmak ve laparotomisiz teknikte ameliyat öncesi görüntüleme tetkiklerinin faydasını göstermek amaçlanmıştır. YÖNTEM ve GEREÇLER: Laparotomisiz hasta grubunda doğru stoma yerinin tespiti için 3 boyutlu bilgisayarlı tomografi (BT) ve düz grafi tetkikleri kullanıldı. Bu hastaların sonuçları ile başka bir merkezde laparotomi ile saptırıcı kolostomi açılan hastaların sonuçları karşılaştırıldı. BULGULAR: Laparotomisiz kolostomi uygulanan 18 hasta ve laparotomili kolostomi uygulanan 16 hasta çalışmaya dahil edildi. Demografik veriler ile birçok hasta ve işlem ilişkili parametre benzer bulundu. İnsizyon boyutu (4.8±0.8 karşın 13.3±1.9cm, p

PDF

___

1. Hasegawa J, Hirota M, Kim HM, Mikata S, Shimizu J, Soma Y, et al. Single-incision laparoscopic stoma creation: experience with 31 consecutive cases. Asian J Endosc Surg 2013; 6: 181-5.

2. MacCormack B. Colonoscopic assisted trephine stoma in children with chronic constipation. Ann R Coll Surg Engl 2014; 96: 387.

3. Tanaka E, Fukunaga Y, Nakashima M, Nagasue Y, Akiyoshi T, Konishi T, et al. Laparoscopic incisionless stoma creation for patients with colorectal malignant stricture. Surg Laparosc Endosc Percutan Tech 2015; 25: 37-9.

4. Jacobsen HL, Harvald TB, Rosenberg J. Notrocar laparoscopic stoma creation. Surg Laparosc Endosc Percutan Tech 2006; 16: 104-5.

5. Hellinger MD, Martinez SA, Parra-Davila E, Yeguez J, Sands LR. Gasless laparoscopicassisted intestinal stoma creation through a single incision. Dis Colon Rectum 1999; 42: 1228-31.

6. Swain BT, Ellis CN. Laparoscopy-assisted loop ileostomy: an acceptable option for temporary fecal diversion after anorectal surgery. Dis Colon Rectum 2002; 45: 705-7.

7. Hollyoak MA, Lumley J, Stitz RW. Laparoscopic stoma formation for faecal divertion. Br J Surg 1998; 41: 226-8.

8. Young CJ, Eyers AA, Solomon MJ. Defunctioning of the anorectum: historical controlled study of laparoscopic vs open procedures. Dis Colon Rectum 1998; 41: 190-4.

9. Young MT, Hwang GS, Menon G, Feldmann TF, Jafari MD, Jafari F, et al. Laparoscopic versus open loop ileostomy reversal: is there an advantage to a minimally invasive approach? World J Surg 2015; 39: 2805 11.

10. Shah A, Moftah M, Hadi Nahar Al-Furaji H, Cahill RA. Standardized technique for single port laparoscopic ileostomy and colostomy. Colorect Dis 2014; 16: 248-52.

11. Senepati A, Philips RK. The trephine colostomy: a permanent left iliac end colostomy without recourse to laparotomy Ann R Coll Surg 1991; 73: 305-6.

12. Stephenson ER Jr, Ilahi O, Koltun WA. Stoma creation through the stoma site: a rapid safe technique. Dis Colon Rectum 1997; 40: 112-5.

13. Zagniyan KN, Murrell Z, Fleshner PR. Scarless single-incision laparoscopic loop ileostomy: a novel technique. Dis Colon Rectum 2011; 54: 1542-6.

14. Atallah S, Albert M, larach S. Technique for constructing an incisionless laparoscopic stoma. Technique Coloproctol 2011; 15: 345-7.

15. Craig E, Garner J, Amin S. Stoma sitting using CT guidance in multiply scarred abdomen. Tech Coloproctol 2007; 11: 281-2.

16. Nylung G, Oresland T, Hulten L. The trephine colostomy: formation of a stoma without laparotomy. Eur J Surg 1997; 163: 627-9.

17. Anderson ID, Hill J, Vohra R, Schofield PF, Kiff ES. An improved means of faecal diversion: the trephine stoma. Br J Surg 1992; 79: 1080-1.

18. Patel P, Wright A, Messersmith R, Palmer J. Does trephine colostomy procedure a satisfactory stoma? Colorectal Dis 2001; 3: 270-1.