Jan D, Petra G, Lubomír M, Igor G, Miloslav M

Language: Spanish
References: 16
Page: 234-237
PDF size: 64.22 Kb.

ABSTRACT

Objective: Present our experience, indications, contraindications, to describe the procedure and advantages of laparoscopic elective colostomy.
Setting: Ostrava Surgical clinic, third level health care hospital.
Design: Prospective, longitudinal, descriptive.
Statistical Analysis: Measures of central tendency.
Patients and method: From January 2001 to December 2005, 36 patients of a mean age 66 (43-80) years (16 female, 20 male) underwent elective laparoscopic colostomy. Patients with unresectable colorectal tumor (28 patients), patients with fecal incontinence (7 patients) and 1 patient with haemorrhoids of the 4th stage were indicated. Operating time, number of conversions, intraoperative and postoperative complications and length of postoperative hospitalization were followed. In the postoperative period we followed recovery of bowel function and oral nutrition.
Results: No intraoperative complications arose, no conversion was necessary. Median operative time was 50 (20-120) minutes. First bowel movement was on average 1, 5 (1-3) days, the first stool was on average the 3rd postoperative day (1-8 days). Patients were started on a liquid diet on average the 2nd postoperative day (1-4 days). Mean length of postoperative hospitalization was 9,6 (1-25) days. During postoperative period 3 complications occurred. 2 patients died due to tumor progression.
Conclusion: Laparoscopic creation of colostomy means quick, simple and safe derivating operation. This procedure should be preferred in most patients indicated to elective colostomy.

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