结肠造口术是一种常见的粪便转流手术，但在手术结果和造口相关并发症方面，最佳的结肠造口方法尚不清楚。本研究的目的是检查腹腔镜环形结肠造口的疗效和可行性。该回顾性队列研究包括在日本静冈癌症中心在2010年4月至2022年3月期间接受环形结肠造口的患者。根据手术方法将患者分为两组：腹腔镜（LAP）组和开放式（OPEN）组。通过倾向性评分匹配比较手术结果和造口相关并发症（如造口垂出症（SP），造口旁疝（PSH）和皮肤疾病（SD））的发生率。 在388名符合条件的患者中，180名（46％）在LAP组，208名（54％）在OPEN组。LAP组男女比为5.5：4.5，OPEN组为5.3：4.7。LAP组的中位年龄为68岁（范围为31-88岁），OPEN组为65岁（范围为23-93岁）。与OPEN组相比，LAP组的手术时间较短，并且术后感染（3.9％对16.3％，p < 0.01）和SD（11.7％对24.5％，p < 0.01）的发生率较低。LAP组和OPEN组在SP（17.3％对17.3％）或PSH（8.9％对6.7％）的发生率方面没有显着差异。进行倾向性评分匹配后，LAP组的术后感染和SD发生率显着低于OPEN组，而手术时间和SP和PSH的发生率则没有明显差异。 我们的结果表明，腹腔镜手术在环形结肠造口中可能具有益处和可行性。© 2023. Springer Nature Switzerland AG.

Colostomy is a common procedure for fecal diversion, but the optimal colostomy approach is unclear in terms of surgical outcomes and stoma-related complications. The purpose of this study was to examine the efficacy and feasibility of laparoscopic loop colostomy.This retrospective cohort study included patients who underwent loop colostomy at Shizuoka Cancer Center in Japan between April 2010 and March 2022. Patients were divided into two groups based on surgical approach: the laparoscopic (LAP) and open (OPEN) groups. Surgical outcomes and the incidences of stoma-related complications such as stomal prolapse (SP), parastomal hernia (PSH), and skin disorders (SD) were compared with and without propensity score matching.Of the 388 eligible patients, 180 (46%) were in the LAP group and 208 (54%) were in the OPEN group. The male-to-female ratio was 5.5:4.5 in the Lap group and was 5.3:4.7 in the OPEN group, respectively. The median age was 68 years (range, 31-88 years) in the LAP group and 65 years (range, 23-93 years) in the OPEN group, respectively. The LAP group, compared with the OPEN group, had a shorter operative time and lower incidences of surgical site infection (3.9% versus 16.3%, respectively; p < 0.01) and SD (11.7% versus 24.5%, respectively; p < 0.01). There was no significant difference between the LAP and OPEN groups in the incidence of SP (17.3% versus 17.3%, respectively) or PSH (8.9% versus 6.7%, respectively). After propensity score matching, the incidences of surgical site infection and SD were significantly lower in the LAP group than in the OPEN group, while there were no significant differences in the operative time or the incidences of SP and PSH.Our results suggest that laparoscopic surgery could be beneficial and feasible in loop colostomy.© 2023. Springer Nature Switzerland AG.