The laparoscopic creation of ileostomas and colostomas can be performed in
a quick, safe and technically effective manner. The advantages of the minim
ally invasive approach are low morbidity and mortality, minimal blood loss
and fast recovery in these mostly multimorbid patients as well as shorter t
ime of hospitalization. We report on a total of 20 patients who underwent l
aparoscopic creation of colostoma in 19 cases and creation of ileostoma in
one case in a period of 2 years. There were no intraabdominal complications
and no lethal outcome. All patients reached their preoperative level of mo
bilization at the 2nd postoperative day. The indications for the laparoscop
ic enterostomy are described.