Modified one-stitch method of prophylactic ileostomy in laparoscopic low anterior resection for patients with rectal cancer
[Objectives] To investigate the effectiveness of the modified one-stitch method of prophylactic ileostomy in laparoscopic low anterior resection for patients with rectal cancer. [Methods] Sixty patients treated at our department between January 2018 and June 2021 with laparoscopic low anterior resec...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-04-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=438&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
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| Summary: | [Objectives] To investigate the effectiveness of the modified one-stitch method of prophylactic ileostomy in laparoscopic low anterior resection for patients with rectal cancer. [Methods] Sixty patients treated at our department between January 2018 and June 2021 with laparoscopic low anterior resection and prophylactic ileostomy were included. Depending on the method of prophylactic ileostomy, patients were divided into the modified one-stitch group (receiving the modified one-stitch method, n=32) and the traditional group (receiving the traditional method, n=28). The duration of surgery (including duration of low anterior resection and prophylactic ileostomy and duration of stoma reversal) and the occurrence of complications (including anastomotic leakage and stoma-related complications) were compared between the two groups. [Results] Surgeries were uneventful in both groups. The stoma reversal was performed 3 to 4 months after the prophylactic ileostomy. Duration of low anterior resection and prophylactic ileostomy, and duration of stoma reversal was significantly shorter in the modified one-stitch group than in the traditional group (P<0.05). No patients had anastomotic leakage, stomal stricture, and intestinal necrosis. The incidence of the separation of stoma skin and mucosa, fecal dermatitis, stoma retraction, parastomal hernia, stoma prolapse, and stoma infection was similar between the two groups (P>0.05). The total incidence of stoma-related complications was significantly lower in the modified group than in the traditional group (P<0.05). [Conclusion] Compared with the traditional prophylactic ileostomy, the modified one-stitch method of prophylactic ileostomy is a more straightforward procedure that can reduce the occurrence of stoma-related complications and the duration of stoma reversal. |
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| ISSN: | 1674-0491 |