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Langenbecks Arch Surg. 2009 Mar;394(2):371-4. Epub 2007 Aug 10.

Palliative stoma creation: comparison of laparoscopic vs conventional procedures.

Author information

1
Department of Surgery, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany. scheidbach@t-online.de

Abstract

BACKGROUND:

The creation of a stoma is an established therapeutic concept for the palliation of non-resectable rectal carcinomas and advanced tumours infiltrating the pelvis.

MATERIALS AND METHODS:

In two prospective country-wide multicentre studies, each conducted over a similar period of time, the peri-operative course and postoperative short-term outcomes of laparoscopic vs laparotomy-based stoma construction were compared.

RESULTS:

A total of 90 patients underwent palliative laparoscopic construction; 550 patients received a stoma via a laparotomy. The intra-operative complication rate was lower after open surgery than after laparoscopic surgery (2.7 vs 5.6%; p = 0.15), although the difference was not significant. With regard to general (30.9 vs 15.6%; p = 0.003) and also specific postoperative complications (13.8 vs 5.6%; p = 0.029), however, a significant advantage of the laparoscopic approach was seen. Furthermore, mortality in the laparoscopic group was also significantly lower (4.4 vs 14.0%; p = 0.011).

CONCLUSION:

Palliative stoma done via laparoscopy had significantly better outcomes in terms of postoperative morbidity and mortality in comparison with the open surgical procedure.

PMID:
17690903
DOI:
10.1007/s00423-007-0220-3
[Indexed for MEDLINE]

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