Techniques for determining the ideal stoma site in laparoscopic colostomy.

The best placement of the stoma is one of the important issues in colostomy. We developed a new laparoscopic technique for colostomy. In the technique, because the port for the laparoscope was placed in the right side of the abdomen, it was easy to separate the descending colon from lateral peritoneum and to lift up the colon loop to the stoma site. In our experiences using this technique, patients had no serious complications. This technique enables the performance of safe, secure, and effective temporary colostomies.