[Laparoscopic sigmoidectomy].
Publication/Presentation Date
9-10-1997
Abstract
The laparoscopic approach has emerged as an alternative to trephine stoma construction. In the present series, eight patients underwent laparoscopic faecal diversion. We performed two endsigmoidostomies and six sigmoid loop ostomies. Indications for diversion included inoperable obstructing pelvic carcinoma in three patients, perianal fistulas in another three--and faecal incontinence in one patient. A temporary loop-sigmoidostomy was performed in one patient after anal sphincteroplasty. Three or four ports were used. After mobilisation, the sigmoid colon was pulled through the abdominal wall. When an end-sigmoidostomy was performed the bowel was transected intra-abdominally. There were no operative complications and all stomas functioned early and well. Laparoscopic sigmoidostomy is safe and allows intra-abdominal exploration and mobilisation of the colon without the inconvenience of a mid-line surgical wound.
Volume
117
Issue
21
First Page
3075
Last Page
3076
ISSN
0029-2001
Published In/Presented At
Wasmuth, H. H., Bergamaschi, R., Alstad, B., Mårvik, R., & Myrvold, H. E. (1997). Laparoskopisk sigmoidostomi [Laparoscopic sigmoidectomy]. Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 117(21), 3075–3076.
Disciplines
Medicine and Health Sciences
PubMedID
9381439
Department(s)
Department of Surgery
Document Type
Article