A method of loop colostomy was described in 1977 which was both rapid and totally diverting using a gastrointestinal stapler to occlude but not divide the colonic lumen. This technique combined the ease and speed of a loop colostomy with the benefits of a totally diverting stoma. The technique simplified the use of distal washout by allowing the insertion of an irrigation catheter via a purse-string suture in the defunctionalized exposed distal colon. In this video, minimally invasive techniques are used to achieve the same type of stoma.

Three ports are placed with the left lateral port used for the stoma. Following initial peritoneal inspection, the colon segment and its mesentery are identified. A suture is passed forming a loop through the end of a soft latex drain which is passed into the peritoneal cavity. Using the Goldfinger instrument, the mesentery is breached and the loop end of the drain is snared and brought back through the mesenteric defect. This maneuver enables the colon to be retracted through the port site for completion of the colostomy. Inserting the finger along the loop provides proximal and distal visual confirmation.

Open exploratory celiotomy is avoided. The colon is stapled but not divided. Maturation of the stoma may be done immediately or delayed depending on the clinical circumstances. Distal irrigation was not performed in this case.

A minimally invasive adaptation of an established method of colostomy is described which combines the benefits of both techniques.