|Table of Contents|

A comparative study of two prophylactic ostomy methods in laparoscopic anus-preserving surgery for low rectal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2022 02
Page:
273-277
Research Field:
Publishing date:

Info

Title:
A comparative study of two prophylactic ostomy methods in laparoscopic anus-preserving surgery for low rectal cancer
Author(s):
DUAN Yi1; WANG Yi2; LEI Lei3
1.Proctology Department;2.General Surgery Department，Chongqing Kaizhou TCM Hospital,Chongqing 405400,China;3.Proctology Department,the Sixth People's Hospital of Chengdu,Sichuan Chengdu 610051,China.
Keywords:
laparoscopy; anus-preserving surgery for low rectal cancer; prophylactic ostomy method; anastomotic fistula
PACS:
R735.3+7
DOI:
10.3969/j.issn.1672-4992.2022.02.019
Abstract:
Objective：To investigate the clinical efficacy of laparoscopic anus-preserving surgery for low rectal cancer with loop ileostomy at the end and modified self-closing ileostomy at the end.Methods:Eighty patients with low rectal cancer treated in our hospital from April 2016 to March 2019 with laparoscopic radical anus-preserving surgery and prophylactic ostomy were selected for the study.Patients were randomly divided into ileostomy group and modified group with 40 cases each.In the ileostomy group,the loop ileostomy at the end was performed.In the modified group,modified self-closing ileostomy at the end was performed.The perioperative indexes and postoperative complications of the two groups were observed and analyzed.SPSS 25.0 was used for data integration analysis.P＜0.05 was statistically significant.Results:There was no significant difference between the two groups in operation time,stoma time,intraoperative blood loss,number of lymph node dissection,recovery time of intestinal function and eating time (P＞0.05).The modified group was better than ileostomy group in terms of hospitalization time and total cost of treatment (P＜0.05).No anastomotic leakage occurred in both groups.The incidence of stoma-related complications and anastomotic stenosis in ileostomy group was higher than that in modified group (P＜0.05).In the modified group,3 elderly diabetic patients had complications related to extubation,which gradually improved after treatment.There was no recurrence or death in the follow-up period of the two groups.Conclusion:The clinical efficacy of the two types of prophylactic ostomy is similar.The modified self-closing ileostomy has shorter hospitalization time and lower treatment cost,which has positive significance in reducing the complications related to stoma and anastomotic stenosis.It is an alternative ostomy in the anus-preserving surgery for low rectal cancer,and it is worth of further exploration and analysis for clinical application.

References:

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重庆市重点科技计划项目（编号：2019BJ0366）
Last Update: 1900-01-01