The safety of laparoscopic extraperitoneal colostomy in the introductory phase: A prospective observational study by the Kanagawa Yokohama Colorectal Cancer Study Group (KYCC) 1804.

IF 1.7 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2025-03-26 DOI:10.1007/s00595-025-03020-2

Akio Higuchi, Masakatsu Numata, Hiroyuki Saeki, Shota Izukawa, Suguru Nukada, Kenta Iguchi, Mamoru Uchiyama, Hironao Okamoto, Yosuke Atsumi, Aya Kato, Keisuke Kazama, Shinsuke Suzuki, Yusuke Katayama, Koji Numata, Sho Sawazaki, Hiroshi Tamagawa, Nobuhiro Sugano, Teni Godai, Hiroyuki Mushiake, Satoru Shinoda, Satomi Matsumoto, Yasushi Rino, Aya Saito, Manabu Shiozawa

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引用次数: 0

Abstract

Purpose: To assess the incidence of parastomal hernia in the introductory phase following laparoscopic extraperitoneal colostomy.

Methods: The subjects of this observational study were 30 patients who underwent laparoscopic extraperitoneal sigmoid colostomy between April 2019 and November 2020. We evaluated the incidence of parastomal hernia over 2 years and the time required for stoma creation.

Results: Parastomal hernia was diagnosed in five patients (17.2%), which was a higher incidence than that reported previously (0-13.3%). An exploratory analysis using the LASSO logistic regression model identified obesity (body mass index ≥25 kg/m²) and postoperative wound dehiscence as risk factors for parastomal hernia. The mean stoma creation time was 23.6 min, with >80% of cases completed within 30 min.

Conclusion: Laparoscopic extraperitoneal colostomy can be adopted successfully, even in centers without prior experience. However, the incidence of parastomal hernia in this study was slightly higher than reported previously. Obese patients had longer stoma creation times and a higher incidence of parastomal hernia.

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.