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Loop Transverse Colostomy - A Modified Technique

Author(s):

Cheng Cai, Zhihui Dai, Zhifeng Zhong, Jianping Wang and Jinlin Du*   Pages 1 - 5 ( 5 )

Abstract:


Background Transverse colostomy is commonly performed to create temporary stoma in rectal cancer patients after neoadjuvant chemoradiotherapy. Conventional methods are either difficulty to implement or to care for. To resolve these problems, we herein describe a modified transverse colostomy method.

Material and Methods: Two sutures of peritoneum were made as “bridges” to support the stoma. Absorbable sutures were utilized to reinforce the stoma. Once the stoma was created, the stoma bag was immediately placed on the skin. 120 patients who received conventional or modified transverse colostomy between 2008 and 2014 were selected. Then, the two groups of patients were compared for stoma-related complications.

Results: The operation time of stoma construction was 34±10 minutes for the conventional method and 28±7 minutes for the modified method (P= 0.009). There were no significant differences between the two groups with respect to postoperative bleeding, bowel obstruction or stoma retraction. Patients with conventional transverse colostomy were remarkably more likely to experience parastoma hernia (P= 0.048) and stoma prolapse (P= 0.038).

Conclusion: In comparison with conventional methods, the modified transverse colostomy is a safe and effective diverting technique. It can be readily performed by all kinds of surgeons, especially those in underdeveloped areas. The technique represents a preferred method for constructing temporary stoma in rectal cancer patients treated with neoadjuvant chemoradiotherapy.

Keywords:

Colostomy, rectal cancer, chemoradiotherapy, neoadjuvant, temporary stoma, stoma-related complications.

Affiliation:

Department of Colorectal and Anal Surgery, Jinhua Municipal Central Hospital, Zhejiang University, Jinhua 321000, Department of Colorectal and Anal Surgery, Jinhua Municipal Central Hospital, Zhejiang University, Jinhua 321000, Department of Colorectal and Anal Surgery, Jinhua Municipal Central Hospital, Zhejiang University, Jinhua 321000, Department of Colorectal and Anal Surgery, Jinhua Municipal Central Hospital, Zhejiang University, Jinhua 321000, Department of Colorectal and Anal Surgery, Jinhua Municipal Central Hospital, Zhejiang University, Jinhua 321000



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