Top

Published in:

01-04-2017 | Dynamic Manuscript

Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopic surgery

Authors: Hitoshi Hino, Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Masakatsu Numata, Akinobu Furutani, Takuya Suzuki, Kakeru Torii

Published in: Surgical Endoscopy | Issue 4/2017

Abstract

Background

The therapeutic benefits of extraperitoneal colostomy with laparoscopic surgery remain unclear. The aim of this study was to investigate the relationship between the route for stoma creation with laparoscopic surgery and stoma-related complications, especially parastomal hernia (PSH).

Methods

From January 2007 to March 2015, a total of 59 patients who underwent laparoscopic abdominoperineal resection or Hartmann procedure were investigated. Patient demographic and treatment characteristics, including stoma-related complications, were analyzed retrospectively.

Results

Transperitoneal and extraperitoneal colostomy were performed in 29 and 30 patients, respectively. Median follow-up duration was 21 months (range: 2–95). Patient demographic and treatment characteristics were comparable between the transperitoneal group (TPG) and the extraperitoneal group (EPG). PSH developed in 12 (41 %) patients in TPG, and 4 (13 %) patients in EPG (p = 0.020). The incidence of other stoma-related complications and non-stoma-related complications did not differ significantly between TPG and EPG. No patient characteristics except for transperitoneal route for stoma creation were associated with PSH development.

Conclusions

The extraperitoneal route for stoma creation is associated with a significantly lower incidence of PSH development after laparoscopic surgery. Whenever possible, extraperitoneal colostomy should be recommended, even with laparoscopic surgery.

Available only for authorised users

Marwan K, Staples MP, Thursfield V, Bell SW (2010) The rate of abdominoperineal resections for rectal cancer in the state of Victoria, Australia: a population-based study. Dis Colon Rectum 53:1645–1651CrossRefPubMed

Tilney HS, Heriot AG, Purkayastha S, Antoniou A, Aylin P, Darzi AW, Tekkis PP (2008) A national perspective on the decline of abdominoperineal resection for rectal cancer. Ann Surg 247:77–84CrossRefPubMed

Wibe A, Syse A, Andersen E, Tretli S, Myrvold HE, Soreide O, Norwegian Rectal Cancer G (2004) Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum: anterior vs. abdominoperineal resection. Dis Colon Rectum 47:48–58CrossRefPubMed

Fujita S, Akasu T, Mizusawa J, Saito N, Kinugasa Y, Kanemitsu Y, Ohue M, Fujii S, Shiozawa M, Yamaguchi T, Moriya Y, Cancer Study Group of Japan Clinical Oncology G (2012) Postoperative morbidity and mortality after mesorectal excision with and without lateral lymph node dissection for clinical stage II or stage III lower rectal cancer (JCOG0212): results from a multicentre, randomised controlled, non-inferiority trial. Lancet Oncol 13:616–621CrossRefPubMed

Carne PW, Robertson GM, Frizelle FA (2003) Parastomal hernia. Br J Surg 90:784–793CrossRefPubMed

Rubin MS, Schoetz DJ Jr, Matthews JB (1994) Parastomal hernia. Is stoma relocation superior to fascial repair? Arch Surg 129:413–418 discussion 418-419 CrossRefPubMed

Cheung MT, Chia NH, Chiu WY (2001) Surgical treatment of parastomal hernia complicating sigmoid colostomies. Dis Colon Rectum 44:266–270CrossRefPubMed

Botet X, Boldo E, Llaurado JM (1996) Colonic parastomal hernia repair by translocation without formal laparotomy. Br J Surg 83:981CrossRefPubMed

Berger D, Bientzle M (2007) Laparoscopic repair of parastomal hernias: a single surgeon’s experience in 66 patients. Dis Colon Rectum 50:1668–1673CrossRefPubMed

10.

LeBlanc KA, Bellanger DE (2002) Laparoscopic repair of paraostomy hernias: early results. J Am Coll Surg 194:232–239CrossRefPubMed

11.

Stelzner S, Hellmich G, Ludwig K (2004) Repair of paracolostomy hernias with a prosthetic mesh in the intraperitoneal onlay position: modified Sugarbaker technique. Dis Colon Rectum 47:185–191CrossRefPubMed

12.

Lian L, Wu XR, He XS, Zou YF, Wu XJ, Lan P, Wang JP (2012) Extraperitoneal vs. intraperitoneal route for permanent colostomy: a meta-analysis of 1,071 patients. Int J Colorectal Dis 27:59–64CrossRefPubMed

13.

Londono-Schimmer EE, Leong AP, Phillips RK (1994) Life table analysis of stomal complications following colostomy. Dis Colon Rectum 37:916–920CrossRefPubMed

14.

Hamada M, Ozaki K, Muraoka G, Kawakita N, Nishioka Y (2012) Permanent end-sigmoid colostomy through the extraperitoneal route prevents parastomal hernia after laparoscopic abdominoperineal resection. Dis Colon Rectum 55:963–969CrossRefPubMed

15.

Leroy J, Diana M, Callari C, Barry B, D’Agostino J, Wu HS, Marescaux J (2012) Laparoscopic extraperitoneal colostomy in elective abdominoperineal resection for cancer: a single surgeon experience. Colorectal Dis 14:e618–e622CrossRefPubMed

16.

Heiying J, Yonghong D, Xiaofeng W, Hang Y, Kunlan W, Bei Z, Jinhao Z, Qiang L (2014) A study of laparoscopic extraperitoneal sigmoid colostomy after abdomino-perineal resection for rectal cancer. Gastroenterol Rep (Oxf) 2:58–62CrossRef

17.

Wang FB, Pu YW, Zhong FY, Lv XD, Yang ZX, Xing CG (2015) Laparoscopic permanent sigmoid stoma creation through the extraperitoneal route versus transperitoneal route. A meta-analysis of stoma-related complications. Saudi Med J 36:159–163CrossRefPubMedPubMedCentral

18.

Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213CrossRefPubMedPubMedCentral

19.

American Society of Colon, Rectal Surgeons Committee Members, Wound Ostomy Continence Nurses Society Committee M (2007) ASCRS and WOCN joint position statement on the value of preoperative stoma marking for patients undergoing fecal ostomy surgery. J Wound Ostomy Continence Nurs 34:627–628CrossRef

20.

Nastro P, Knowles CH, McGrath A, Heyman B, Porrett TR, Lunniss PJ (2010) Complications of intestinal stomas. Br J Surg 97:1885–1889CrossRefPubMed

21.

Sohn YJ, Moon SM, Shin US, Jee SH (2012) Incidence and risk factors of parastomal hernia. J Korean Soc Coloproctol 28:241–246CrossRefPubMedPubMedCentral

22.

Goligher JC (1958) Extraperitoneal colostomy or ileostomy. Br J Surg 46:97–103CrossRefPubMed

23.

Yamaguchi T, Kinugasa Y, Shiomi A, Sato S, Yamakawa Y, Kagawa H, Tomioka H, Mori K (2015) Learning curve for robotic-assisted surgery for rectal cancer: use of the cumulative sum method. Surg Endosc 29:1679–1685CrossRefPubMed

24.

Yamaguchi T, Kinugasa Y, Shiomi A, Tomioka H, Kagawa H, Yamakawa Y (2015) Robotic-assisted vs. conventional laparoscopic surgery for rectal cancer: short-term outcomes at a single center. Surg Today. doi:10.1007/s00595-015-1266-4

25.

Yamaguchi T, Kinugasa Y, Shiomi A, Tomioka H, Kagawa H (2016) Robotic-assisted laparoscopic versus open lateral lymph node dissection for advanced lower rectal cancer. Surg Endosc 30:721–728CrossRefPubMed

26.

Janes A, Cengiz Y, Israelsson LA (2009) Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. World J Surg 33:118–121 (discussion 122-113) CrossRefPubMed

27.

Pilgrim CH, McIntyre R, Bailey M (2010) Prospective audit of parastomal hernia: prevalence and associated comorbidities. Dis Colon Rectum 53:71–76CrossRefPubMed

28.

Mylonakis E, Scarpa M, Barollo M, Yarnoz C, Keighley MR (2001) Life table analysis of hernia following end colostomy construction. Colorectal Dis 3:334–337CrossRefPubMed

29.

Funahashi K, Suzuki T, Nagashima Y, Matsuda S, Koike J, Shiokawa H, Ushigome M, Arai K, Kaneko T, Kurihara A, Kaneko H (2014) Risk factors for parastomal hernia in Japanese patients with permanent colostomy. Surg Today 44:1465–1469CrossRefPubMed

Title: Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopic surgery
Authors: Hitoshi Hino
Tomohiro Yamaguchi
Yusuke Kinugasa
Akio Shiomi
Hiroyasu Kagawa
Yushi Yamakawa
Masakatsu Numata
Akinobu Furutani
Takuya Suzuki
Kakeru Torii
Publication date: 01-04-2017
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 4/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-016-5198-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopic surgery

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2017

Prevertebral cervical approach: a pure endoscopic surgical technique for posterior mediastinum parathyroid adenomas

Transaxillary robotic modified radical neck dissection: a 5-year assessment of operative and oncologic outcomes

Endoscopic resection for duodenal subepithelial tumors: a single-center experience

Prophylactic transanal decompression tube versus non-prophylactic transanal decompression tube for anastomotic leakage prevention in low anterior resection for rectal cancer: a meta-analysis

Risk factors associated with difficult gastric endoscopic submucosal dissection: predicting difficult ESD

Diabetes improvement and resolution following laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a systematic review of randomized controlled trials