P-0236 Indications and Outcomes after Laparoscopic Stoma Creation: The Philippine General Hospital Experience

Abstract

ABSTRACT Introduction Fecal diversion through an open surgical approach is associated with considerable trauma, stress, and post-operative pain. Laparoscopic stoma creation, on the other hand, has been widely documented to decrease post-operative pain, to reduce adynamic ileus, to hasten post-operative feeding, to improve recovery and to induce earlier commencement of neoadjuvant treatment for patients with locally-advanced rectal cancer. This study aims to describe and evaluate cases of laparoscopic stoma creation in terms of indication, post-operative outcome, length of hospital stay, morbidity and mortality. Methods This is a descriptive, retrospective study. All adult patients admitted by the Division of Colorectal Surgery at the University of the Philippines-Philippine General Hospital (UP-PGH) from January 01, 2007 to December 31, 2011 who underwent laparoscopic stoma creation were included in the study. Results Fifty-one patients underwent laparoscopic stoma creation from 2007 to 2011. Mean operation time was 80 minutes (SD: -20 to 25 minutes). The most common indication was for locally-advanced, obstructing colorectal cancer (88.23%, 45/51). Transverse loop colostomy was the most common type of surgery (65.66%, 34/51). There was only one conversion. Two patients were re-operated on for stoma prolapse, translating to a morbidity rate of 3.92%. No procedure-related mortality was documented. Patients were discharged after two to fifteen days post-operatively (mean 5.54 days). Conclusion Laparoscopic stoma creation is a safe and short surgical procedure with low morbidity and mortality rates.