Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma

Abstract The conventional approach of trephine stoma creation is associated with various limitations, including poor elevation of the sigmoid colon, misidentification of the target organs, and poor visualization of the operative field, which may require conversion to an open approach. Our study aime...

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Autores principales:	Teppei Kamada, Hironori Ohdaira, Junji Takahashi, Wataru Kai, Keigo Nakashima, Yuichi Nakaseko, Norihiko Suzuki, Masashi Yoshida, Yutaka Suzuki
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2efce57fcf9d47dfa90fc0acfe22481b
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spelling	oai:doaj.org-article:2efce57fcf9d47dfa90fc0acfe22481b2021-12-02T16:45:54ZMinimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma10.1038/s41598-021-96357-w2045-2322https://doaj.org/article/2efce57fcf9d47dfa90fc0acfe22481b2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96357-whttps://doaj.org/toc/2045-2322Abstract The conventional approach of trephine stoma creation is associated with various limitations, including poor elevation of the sigmoid colon, misidentification of the target organs, and poor visualization of the operative field, which may require conversion to an open approach. Our study aimed to evaluate the safety, feasibility, and complications of minimally invasive colostomy with endoscopy (MICE), a new technique for trephine stoma creation. This retrospective cohort study included 14 patients. Patients diagnosed with obstructive rectal cancer or bladder and rectal disorders due to spinal cord injury or bone metastasis requiring sigmoid loop colostomy were eligible for the procedure. MICE was performed using a combination of endoscopic and fluoroscopic procedures. The primary endpoint was the technical success of MICE. Technical success using MICE was achieved in all 14 cases. The mean total operative time was 52.6 (range 32–107) min, and mean blood loss was 18.9 (range 1–50) mL. There was no incidence of conversion to open surgery. Postoperative complications included peristomal abscess formation and ischemic colitis in each case. MICE may be useful as a minimally invasive approach for trephine stoma creation that overcomes the problems of a conventional approach in high-risk patients.Teppei KamadaHironori OhdairaJunji TakahashiWataru KaiKeigo NakashimaYuichi NakasekoNorihiko SuzukiMasashi YoshidaYutaka SuzukiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Teppei Kamada Hironori Ohdaira Junji Takahashi Wataru Kai Keigo Nakashima Yuichi Nakaseko Norihiko Suzuki Masashi Yoshida Yutaka Suzuki Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
description	Abstract The conventional approach of trephine stoma creation is associated with various limitations, including poor elevation of the sigmoid colon, misidentification of the target organs, and poor visualization of the operative field, which may require conversion to an open approach. Our study aimed to evaluate the safety, feasibility, and complications of minimally invasive colostomy with endoscopy (MICE), a new technique for trephine stoma creation. This retrospective cohort study included 14 patients. Patients diagnosed with obstructive rectal cancer or bladder and rectal disorders due to spinal cord injury or bone metastasis requiring sigmoid loop colostomy were eligible for the procedure. MICE was performed using a combination of endoscopic and fluoroscopic procedures. The primary endpoint was the technical success of MICE. Technical success using MICE was achieved in all 14 cases. The mean total operative time was 52.6 (range 32–107) min, and mean blood loss was 18.9 (range 1–50) mL. There was no incidence of conversion to open surgery. Postoperative complications included peristomal abscess formation and ischemic colitis in each case. MICE may be useful as a minimally invasive approach for trephine stoma creation that overcomes the problems of a conventional approach in high-risk patients.
format	article
author	Teppei Kamada Hironori Ohdaira Junji Takahashi Wataru Kai Keigo Nakashima Yuichi Nakaseko Norihiko Suzuki Masashi Yoshida Yutaka Suzuki
author_facet	Teppei Kamada Hironori Ohdaira Junji Takahashi Wataru Kai Keigo Nakashima Yuichi Nakaseko Norihiko Suzuki Masashi Yoshida Yutaka Suzuki
author_sort	Teppei Kamada
title	Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
title_short	Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
title_full	Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
title_fullStr	Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
title_full_unstemmed	Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
title_sort	minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2efce57fcf9d47dfa90fc0acfe22481b
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Minimally invasive colostomy with endoscopy as a novel technique for creation of a trephine stoma

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