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Purpose <p>To assess the incidence of parastomal hernia in the introductory phase following laparoscopic extraperitoneal colostomy.</p> Methods <p>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.</p> Results <p>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/m<sup>2</sup>) and postoperative wound dehiscence as risk factors for parastomal hernia. The mean stoma creation time was 23.6 min, with &gt;80% of cases completed within 30 min.</p> Conclusion <p>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.</p>

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

  • 期刊论文

  • 发表日期：

    2025年3月26日

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  • 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

摘要

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.