• Surgery today · May 2013

    Review

    Extraperitoneal colostomy in laparoscopic abdominoperineal resection using a laparoscopic retractor.

    • Shintaro Akamoto, Seiji Noge, Jun Uemura, Norikatsu Maeda, Minoru Ohshima, Hirotaka Kashiwagi, Naoki Yamamoto, Masao Fujiwara, Shinichi Yachida, Takehiro Takama, Masanobu Hagiike, Keiichi Okano, Hisashi Usuki, and Yasuyuki Suzuki.
    • Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. akamoto@med.kagawa-u.ac.jp
    • Surg. Today. 2013 May 1;43(5):580-2.

    AbstractAlthough extraperitoneal colostomy is often performed to prevent postoperative parastomal hernia formation following an open abdominoperineal resection of lower rectal cancer, it has not been widely employed laparoscopically because of the difficulty associated with the extraperitoneal route. This paper describes a laparoscopic extraperitoneal sigmoid colostomy using the Endo Retract™ Maxi instrument. This surgical technique is easy, and helps to prevent the development of parastomal hernias.

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