Clinical prospects for laparoscopic stoma closure of a temporary loop ileostomy: Initial experience and report

Abstract

Introduction: In closure of a stoma, the small working space and adhesions hinder a precise surgical procedure, compared with conventional approaches to digestive surgery. The aim of this prospective study was to introduce a new technique of laparoscopic stoma closure (LASC). Materials and surgical techniques: After starting with three trocars, it is a priority to dissect around the arising ileum; a linear stapler is precisely inserted in both orifices of the loop stoma and applied two times, extracorporeally. Ultimately, both the oral and anal sides of the loop ileum are cut and closed using a linear cutter stapler in a delta-shaped manner just under the abdominal wall, intracorporeally. Eventually, the arising stoma is removed using an intraabdominal and cutaneous approach. Discussion: LASC for patients with a temporary loop ileostomy is safe and feasible. More data and experience will be required to verify the benefits of this new technique.

Clinical study of stoma closure: its complications and management

“…5 Study done by orlado baba yllan et al showed mean age of 46 years. 6 Study done by Rodrigues oliva perez et al showed mean age of 56 years. 7 Study done by Asadullah Khan et al showed mean age of 41.5 years.…”

A multidimensional learning curve analysis of totally laparoscopic ileostomy reversal using a single surgeon' s experience

“…With the evolution of minimally invasive techniques, laparoscopic-assisted reversal has been developed to reduce postoperative complications such as bowel obstruction and incisional hernia (5,6). In addition, some initial explorations of laparoscopic reversal with intracorporeal anastomosis have been conducted (7)(8)(9). However, intracorporeal intestine reconstruction is relatively difficult and requires a learning process for inexperienced surgeons.…”