Evidence map›Paper›PMID 40140016›Full record

Observational studySurgery today2025

The safety of laparoscopic extraperitoneal colostomy in the introductory phase: A prospective observational study by the Kanagawa Yokohama Colorectal Cancer Study Group (KYCC) 1804.

Akio Higuchi, Masakatsu Numata, Hiroyuki Saeki, Shota Izukawa, Suguru Nukada, Kenta Iguchi, Mamoru Uchiyama, Hironao Okamoto, Yosuke Atsumi, Aya Kato and 14 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Akio HiguchiDepartment of Gastrointestinal Surgery, Yokohama Minami Kyousai Hospital, 1-21-1 Mutsuurahigashi, Kanazawa-ku, Yokohama City, Kanagawa, 236-0037, Japan.
Masakatsu NumataDepartment of Gastroenterological Surgery, Gastroenterological Center, Yokohama City University Medical Center, 4-57 Urafune-cho Minami-ku, Yokohama City, Kanagawa, 232-0024, Japan. numata@yokohama-cu.ac.jp.
Hiroyuki SaekiDepartment of Gastrointestinal Surgery, Yokohama Minami Kyousai Hospital, 1-21-1 Mutsuurahigashi, Kanazawa-ku, Yokohama City, Kanagawa, 236-0037, Japan.
Shota IzukawaDepartment of Gastroenterological Surgery, Gastroenterological Center, Yokohama City University Medical Center, 4-57 Urafune-cho Minami-ku, Yokohama City, Kanagawa, 232-0024, Japan.
Suguru NukadaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama City, Kanagawa, 241-8515, Japan.
Kenta IguchiDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama City, Kanagawa, 241-8515, Japan.
Mamoru UchiyamaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama City, Kanagawa, 241-8515, Japan.
Hironao OkamotoDepartment of Surgery, Hiratsuka Kyousai Hospital, 9-11 Oiwake, Hiratsuka-shi, Kanagawa, 254-0047, Japan.
Yosuke AtsumiDepartment of Gastroenterological Surgery, Gastroenterological Center, Yokohama City University Medical Center, 4-57 Urafune-cho Minami-ku, Yokohama City, Kanagawa, 232-0024, Japan.
Aya KatoDepartment of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.
Keisuke KazamaDepartment of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.
Shinsuke SuzukiDepartment of Surgery, Fujisawa Shonandai Hospital, 2345 Takakura, Fujisawa-shi, Kanagawa, 252-0802, Japan.
Yusuke KatayamaDepartment of Surgery, Japanese Red Cross Hadano Hospital, 1-1, Tatenodai, Hadano-shi, Kanagawa, 257-0017, Japan.
Koji NumataDepartment of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.
Sho SawazakiDepartment of Surgery, Miura Municipal Hospital, 1-1, Shiroyama-cho, Miura-shi, Kanagawa, 238-0298, Japan.
Hiroshi TamagawaDepartment of Gastrointestinal Surgery, Yokohama Minami Kyousai Hospital, 1-21-1 Mutsuurahigashi, Kanazawa-ku, Yokohama City, Kanagawa, 236-0037, Japan.
Nobuhiro SuganoDepartment of Surgery, Hiratsuka Kyousai Hospital, 9-11 Oiwake, Hiratsuka-shi, Kanagawa, 254-0047, Japan.
Teni GodaiDepartment of Surgery, Fujisawa Shonandai Hospital, 2345 Takakura, Fujisawa-shi, Kanagawa, 252-0802, Japan.
Hiroyuki MushiakeDepartment of Surgery, Saiseikai Yokohamashi Nanbu Hospital, 3-2-10, Konandai, Konan-ku, Yokohama City, Kanagawa, 234-0054, Japan.
Satoru ShinodaDepartment of Biostatistics, School of Medicine, Yokohama City University, 3-9 Fukuura Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.
Satomi MatsumotoDepartment of Gastrointestinal Surgery, Yokohama Minami Kyousai Hospital, 1-21-1 Mutsuurahigashi, Kanazawa-ku, Yokohama City, Kanagawa, 236-0037, Japan.
Yasushi RinoDepartment of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.
Aya SaitoDepartment of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.
Manabu ShiozawaDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama City, Kanagawa, 241-8515, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the incidence of parastomal hernia in the introductory phase following laparoscopic extraperitoneal colostomy.

methodsThe subjects of this observational study were 30 patients who underwent laparoscopic extraperitoneal sigmoid colostomy between April 2019 and November 2020. We evaluated the incidence of parastomal hernia over 2 years and the time required for stoma creation.

resultsParastomal hernia was diagnosed in five patients (17.2%), which was a higher incidence than that reported previously (0-13.3%). An exploratory analysis using the LASSO logistic regression model identified obesity (body mass index ≥25 kg/m

conclusionLaparoscopic extraperitoneal colostomy can be adopted successfully, even in centers without prior experience. However, the incidence of parastomal hernia in this study was slightly higher than reported previously. Obese patients had longer stoma creation times and a higher incidence of parastomal hernia.

Indexed as

ColostomyIncisional HerniaLaparoscopyPostoperative ComplicationsAdultAgedAged, 80 and overColon, SigmoidFemaleHumansIncidenceMaleMiddle AgedObesityProspective StudiesRisk FactorsExtraperitoneal routeLaparoscopic colostomyLASSO logistic regressionParastomal hernia

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.