Three patients with cervical carcinoma underwent laparoscopic descendi
ng colostomy. The indications for colostomy included severe radiation
proctitis, enterovaginal fistula secondary to progressive pelvic tumor
, and large bowel obstruction from progressive pelvic tumor. Two patie
nts were treated with laparoscopic descending end colostomy with creat
ion of a Hartman's pouch, and the third patient underwent laparoscopic
descending loop colostomy. The techniques utilized are discussed. (C)
1994 Academic Press, Inc.