徳島大学 教育・研究者情報データベース(EDB)

1. (英) Hamada Madoka

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2. 西岡 豊([高知大学])

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3. (英) Nishimura Takao

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4. 後藤 正和([徳島大学.大学院医歯薬学研究部.医学域.先端医学教育研究プロジェクト]/[徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.胸部・内分泌・腫瘍外科学])

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5. 古北 由仁

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6. (英) Ozaki Kazuhide

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7. (英) Nakamura Toshio

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8. (英) Fukui Yasuo

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9. (英) Taniki Toshikatsu

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10. (英) Horimi Tadashi

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(英) Laparoscopic permanent sigmoid stoma creation through the extraperitoneal route.

(英) About 50% of patients who have a permanent stoma experience some degree of parastomal hernia formation. To prevent this complication, the extraperitoneal route is considered to be more effective than the transperitoneal route in the case of open colorectal surgery. This technique also has superiority in avoiding postoperative intestinal obstruction. Although laparoscopic surgery for rectal cancer has not been proved to be as safe as open surgery by a randomized-controlled trial, some studies have shown the equality of long-term results with laparoscopic low anterior resection and laparoscopic abdominoperineal resection. It is anticipated that cases of laparoscopic abdominoperineal resection will increase in the near future. However, a laparoscopic technique for creation of a permanent stoma has hardly been discussed. Most operative procedures for laparoscopic stoma creation have been performed with transperitoneal route, which may cause parastomal hernia and/or intestinal obstruction. This report describes a laparoscopic technique for permanent sigmoid stoma creation through the extraperitoneal approach.

1. (英) PublicationType: Journal Article