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Circular Stapler-Assisted Extraperitoneal Colostomy in Laparoscopic Abdominoperineal Resection: a Single Surgeon Experience

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Nowadays, laparoscopic abdominoperineal resection (LAPR) not only has the same oncologic safety of open surgery and but also has the common advantages of laparoscopic surgery. However, given the difficulty in operation and long operative time, laparoscopic extraperitoneal colostomy construction is rarely practiced and reported. In this study, we describe technique of extraperitoneal colostomy using circular stapler following LAPR and demonstrate its efficacy and safety.

Methods

This is a retrospective analysis of prospectively maintained data of 42 patients who underwent LAPR with circular stapler-assisted extraperitoneal colostomy in our department between July 2011 and June 2014.

Results

The mean time for extraperitoneal colostomy construction was 25 min (18–33 min). The mean operative time, estimated blood loss, postoperative gastrointestinal function recovery time, and duration of postoperative hospital stay were 160 min (115–225 min), 45 ml (10–250 ml), 33 h (26–45 h), and 8.6 days (6–13 days), respectively; 4.8 % of the patients had postoperative short-term complications. There were no stenosis, prolapse, and parastomal hernia observed in follow-up period. At 6 months after operation, 26 patients (62 %) claimed to be satisfied with their postoperative stool habits, 29 patients (69 %) had sensation to defecate per stoma, and 11 (26.2 %) patients had the ability to defer defecation for solid or liquid stool per stoma.

Conclusion

Circular stapler-assisted extraperitoneal colostomy is an easy, effective, and safe technique following LAPR and appears to minimize the occurrence of stomal complications and improve the quality of life for patients.

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Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, Hubei Province, China, 430022

    Peng Zhang, Jie Bai, Xiaoming Shuai, Weilong Chang, Jinbo Gao, Xinghua Liu, Guobin Wang & Kaixiong Tao

Authors
  1. Peng Zhang
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  2. Jie Bai
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  3. Xiaoming Shuai
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  4. Weilong Chang
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  5. Jinbo Gao
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  6. Xinghua Liu
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  7. Guobin Wang
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  8. Kaixiong Tao
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Corresponding author

Correspondence to Kaixiong Tao.

Ethics declarations

The study was approved by the Ethics Committee of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, and informed consent was obtained from each participating patient.

Conflict of Interest

The authors declare that they have no competing interests.

Financial Support

This work was supported by the Research Fund of Public Welfare in Health Industry, 2014, Health Ministry of China (No. 201402015).

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Zhang, P., Bai, J., Shuai, X. et al. Circular Stapler-Assisted Extraperitoneal Colostomy in Laparoscopic Abdominoperineal Resection: a Single Surgeon Experience. J Gastrointest Surg 20, 619–623 (2016). https://doi.org/10.1007/s11605-015-3039-1

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  • DOI: https://doi.org/10.1007/s11605-015-3039-1

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