An Analysis of Laparoscopic Palliative Stoma Creation in Our Hospital

There are few reports on laparoscopic stoma creation; we report here our experience with palliative laparoscopic stoma creation. Patients and methods: Thirteen patients who underwent laparoscopic palliative stoma creation between January 2010 and February 2015 were studied and their clinical outcome was evaluated retrospectively. CROSS (colorectal obstructionscoring system, recommended by the Colonic Stent Safe Procedure Research Group) was used to evaluate this procedure. Results: The reasons for the 13 bowel obstructions were 11 colorectal cancer, 1 ischemic colitis (with rectal cancer), 1 peritoneal dissemination due to gastric cancer, and 1 other. Seven cases were treated laparoscopically (53.8%, 7 / 13). All cases with peritoneal disseminations were converted. Three cases suffered surgical site infection (SSI) (23%, 3 / 13). Laparoscopic surgery did not cause SSI; conversion caused all SSI. The other complications were incomplete decompression, aspiration pneumonia, and internal hernia. After surgery, the CROSS score increased from 1.8±1.3 to 3.9±0.3. Discussion: Laparoscopic palliative stoma creation was found to be useful with CROSS, and was performed safely. However, the operation for bowel obstruction due to peritoneal dissemination should be performed carefully. Conclusion: Laparoscopic palliative stoma creation was useful for bowel obstruction without peritoneal dissemination.