Ann Surg Treat Res.  2018 Dec;95(6):319-323. 10.4174/astr.2018.95.6.319.

Single-incision laparoscopic ileostomy is a safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection

• Hwang DY
• Lee GR
• Kim JH
• Lee YS

• KMID: 2426763
• DOI: http://doi.org/10.4174/astr.2018.95.6.319

Abstract

PURPOSE
Currently, many operations are performed using the single-incision laparoscopic method. Although there have been recent reports on single-incision laparoscopic ileostomy, none have compared this method to conventional laparoscopic ileostomy. This study aimed to assess the safety and feasibility of single-incision laparoscopic ileostomy for anastomotic leakage following laparoscopic low anterior resections.
METHODS
From April 2012 to April 2017, 38 patients underwent laparoscopic ileostomy (single-incision; 19 patients referred to as group A, conventional laparoscopy; 19 patients referred to as group B) for anastomotic leakage following laparoscopic low anterior resection. We analyzed surgical and clinical outcomes between the 2 groups. Patients in whom a protective ileostomy was carried out during the initial laparoscopic low anterior resection were excluded from this study.
RESULTS
No significant differences were observed between the 2 groups in terms of patient demographics and initial operation details. Incisional surgical site infections occurred less in group A than in group B (2 of 19 vs. 9 of 19, P = 0.029). The median ileostomy operation time, amount of intraoperative bleeding, parastomal hernia ratio, hospital stay duration after ileostomy, postoperative pain score were not significantly different between the 2 groups.
CONCLUSION
Single-incision laparoscopic ileostomy is safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection.

Keyword

Ileostomy; Laparoscopy; Anastomotic leak; Minimally invasive surgical procedures

MeSH Terms

Anastomotic Leak*
Demography
Hemorrhage
Hernia
Humans
Ileostomy*
Laparoscopy
Length of Stay
Methods*
Minimally Invasive Surgical Procedures
Pain, Postoperative
Surgical Wound Infection

Figure

• 

  Fig. 1 A photograph showing a single-incision laparoscopic ileostomy.

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