Zusammenfassung
Präoperative Markierung, Ausleiten des Stomas mindestens 1 cm über dem Hautniveau und vollständiger mukokutaner Kontakt sind die wichtigsten Anforderungen an die Stomaanlage. Ausgedehnte Voroperationen, Notfallsituationen und Adipositas können zu erheblichen technischen Schwierigkeiten führen. In diesem Kapitel wird die Technik der konventionellen und der laparoskopischen Stomaanlage beschrieben und Praxistipps für „schwierige“ Stomaanlagen vorgestellt.
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Literatur
Beck DE (2011) The ASCRS textbook of colon and rectal surgery. Springer, New York, S 522
Block GE, Moossa AR (1994) Operative Colorectal Surgery. W.B. Saunders, S 448
Brooke BN (1952) The management of an ileostomy, including its complications. Lancet 2(6725):102–104
Corman ML (2013) Corman’s colon and rectal surgery. Wolter Kluwer, Philadelphia
Correa-Marinez A, Grenabo J, Bock D, Wedin A, Angenete E (2018) The type of stoma matters-morbidity in patients with obstructing colorectal cancer. Int J Colorectal Dis 33(12):1773–1780
Cottam J, Richards K, Hasted A, Blackman A (2007) Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis 9(9):834–838
Ein SH (1984) Divided loop colostomy that does not prolapse. Am J Surg 147(2):250–252
Keighly M, Williams N (1994) Surgery of the anus, rectum and colon. Balliere Tindall 2:198
Khoo RE, Cohen MM, Chapman GM, Jenken DA, Langevin JM (1994) Loop ileostomy for temporary fecal diversion. Am J Surg 167(5):519–522
Leong AP, Londono-Schimmer EE, Phillips RK (1994) Life-table analysis of stomal complications following ileostomy. Br J Surg 81(5):727–729
Liu J, Bruch HP et al (2005) Stoma formation for fecal diversion: a plea for the laparoscopic approach. Tech Coloproctol 9:9–14
Marcello PW, Roberts PL, Schoetz DJ, Coller JA, Murray JJ, Veidenheimer MC (1993) Obstruction after ileal pouch-anal anastomosis: a preventable complication? Dis Colon Rectum 36(12):1105–1111
Myrelid P, Söderholm JD, Olaison G, Sjödahl R, Andersson P (2012) Split stoma in resectional surgery of high-risk patients with ileocolonic Crohn’s disease. Colorectal Dis 14:188–193
Oliveira L, Reissman P et al (1997) Laparoscopic creation of stomas. Surg Endosc 11:19–23
Prasad ML, Pearl RK, Abcarian H (1984) End-loop colostomy. Surg Gynecol Obstet 158(4):380–382
Schumpelick V (1997) Operationsatlas Chirurgie. Enke, Stuttgart
Shellito PC (1998) Complications of abdominal stoma surgery. Dis Colon Rectum 41(12):1562–1572
Sier MF, Wisselink DD, Ubbink DT, Oostenbroek RJ, Veldink GJ, Lamme B, van Duijvendijk P, van Geloven AAW, Eijsbouts QAJ, Bemelman WA (2018) ISI trial study group. Randomized clinical trial of intracutaneously versus transcutaneously sutured ileostomy to prevent stoma-related complications (ISI trial). Br J Surg 105(6):637–644
Speirs M, Leung E, Hughes D, Robertson I, Donnelly L, Mackenzie I, Macdonald A (2006) Ileostomy rod–is it a bridge too far? Colorectal Dis 8:484–487
Strong SA (1994) The difficult stoma: challenges and strategies. Clin Colon Rectal Surg 29(2):152–159
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Iesalnieks, I. (2020). Technik der Stomaanlage. In: Iesalnieks, I. (eds) Chirurgie des intestinalen Stomas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59123-9_3
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DOI: https://doi.org/10.1007/978-3-662-59123-9_3
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