Skin-flap bridge ileostomy in radical resection of mid and low rectal cancer
[Objectives] To investigate the effect of skin-flap bridge ileostomy in radical resection of mid and low rectal cancer. [Methods] This was a retrospective analysis of 87 patients with mid and low rectal cancer treated at the Deyang People’s Hospital, Sichuan, and the Daping Hospital of Army Medical...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-06-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=413&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC3%E6%9C%9F |
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| Summary: | [Objectives] To investigate the effect of skin-flap bridge ileostomy in radical resection of mid and low rectal cancer. [Methods] This was a retrospective analysis of 87 patients with mid and low rectal cancer treated at the Deyang People’s Hospital, Sichuan, and the Daping Hospital of Army Medical University between May 2019 and June 2021. All patients underwent radical resection for mid and low rectal cancer and had prophylactic ileostomy. Patients were divided into the treatment group (receiving skin-flap bridge ileostomy, n=45) and the control group (receiving loop ileostomy, n=42) depending on the type of ileostomy. Duration of ileostomy, early complications of ileostomy within 1 month (stoma edema, stoma bleeding, stoma pain, stoma skin irritation, stoma leakage, stoma necrosis, and stoma mucocutaneous separation), and follow-up data (long-term complications such as stoma stricture, stoma retraction, stoma prolapse, and peri-stoma hernia, tumor recurrence, and death) were recorded. [Results] Prophylactic ileostomy was uneventful in all patients. The mean (SD) duration of ileostomy in the treatment group was 8.2 (1.6) min, which was significantly shorter than that in the control group of which was 23.1 (2.7) min (P < 0.05). There were no events of stoma bleeding or stoma necrosis. The incidence of stoma edema and stoma pain was significantly lower in the treatment group than in the control group (P < 0.05). The incidence of the other early complications was similar between the two groups (P > 0.05). Eightyseven patients were followed up to November 2021. No recurrence or death was reported. There were no events of stoma stricture. There were no events of stoma retraction, prolapse, and peri-stoma hernia in the treatment group, while there were three events of stoma retraction, two events of stoma prolapse, and one event of peri-stoma hernia in the control group. All six patients whom had long-term complications in the control group were treated with stoma reversal. The incidence of stoma retraction, stoma prolapse, and peri-stoma hernia was similar between the two groups (P > 0.05). [Conclusion] Skin-flap bridge ileostomy is a safe, feasible, and simple procedure for radical resection of mid and low rectal cancer. It has certain value of wider clinical application. |
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| ISSN: | 1674-0491 |