IJCEMR
Prophylactic Ileostomy Related Complications of Laparoscopic Low Rectal Cancer Surgery and Analysis of the Timing of Recovery
TOTAL VIEWS: 2379
Abstract
Objective: To investigate the prophylactic ileostomy related complications of laparoscopic operation for low rectal cancer and the timing of recovery. Method: A total of 199 patients who underwent laparoscopic low rectal cancer anterior resection and preventive ileostomy restoration in the First Affiliated Hospital of Chongqing Medical University from 2016 to 2021 were selected and divided into two groups according to the recovery time: early recovery group and late recovery group, and 60 patients in early recovery group (1 to 3 months after rectal cancer surgery). In the late recovery group, 139 patients (3 months after rectal cancer surgery). The incidence of ostomy-related complications and postoperative complications were compared between the two groups. Results: The incidence of periostomy dermatitis in the early restoration group was significantly lower than that in the late restoration group (P < 0.05), and there were no significant differences in the complications related to the residual stoma and postoperative complications between the two groups (P > 0.05). Conclusion: Early restoration can reduce the incidence of periostomy dermatitis, without increasing other complications related to the stoma and postoperative complications, and can bring better quality of life for patients.
References
[1] Boyce SA, Harris C, Stevenson A, et al. Management of low colorectal anastomotic leakage in the laparoscopic era: more than a decade of experience [J]. Dis Colon Rectum, 2017, 60 (8): 807-814. DOI: 10.1097/DCR.0000000000000822.
[2] Salamone G, Licari L, Agrusa A, et al. Usefulness of ileostomy defunctioning stoma after anterior resection of rectum on prevention of anastomotic leakage a retrospective analysis [J]. Ann Ital Chir, 2016, 87: 155-160.
[3] DenDulk M, Smit M. Dutch Colorectal Cancer Group. A multivariate analysis of limiting factors for stoma reversal in patients with rectal cancer entered into the total mesorectal excision (TME) trial: a retrospective study [J]. Lancet Oncol, 2007, 8(4): 297-303.
[4] Celerier B, Denost Q, Van Geluwe B.The risk of definitive stoma formation at 10 years after low and ultralow anterior resection for rectal cancer [J]. Colorectal Dis, 2016, 18(1): 59-66.
[5] Huser N, Michalski CW, Erkan M, et al. Systematic review andmeta -- analysis of the role of defunctioning stoma in low rectal cancersurgery [J]. AnnSurg, 2008, 248(1): 52-60. DOI: 10.1097/SLA.0b013e318176bf65.
[6] Eriksen MT, Wibe A. Norwegian Rectal Cancer Group. Anastomotic leakage following routine mesorectal excision fbr rectal cancer in a national cohort of patients [J]. Colorectal Dis, 2005, 7(1): 51-57.
[7] Ostomy Professional Committee of Anorectal Physicians Branch of Chinese Medical Doctor Association, Anorectal Physicians Branch of Chinese Medical Doctor Association, Colorectal Surgery Group of Chinese Medical Association Surgery Branch, etc. Surgical prophylactic enterostomy for low and middle rectal cancer: A Chinese expert consensus [J]. Chinese Journal of Gastrointestinal Surgery, 2022, 25(6): 741-748. DOI: 10.3760/cma.j.cn441530-20220421-00169.
[8] Bausys A, Kuliavas J, Dulskas A, et al. Early versus standard closure of temporary ileostomy in patients with rectal cancer: a randomized controlled trial [J]. J Surg Oncol, 2019, 120(2): 294-299. DOI: 10.1002/jso.25488.
[9] Walma MS, Kornmann VN, Boerma D, et al. Predictors of fecal incontinence and related quality of life after a total mesorectal excision with primary anastomosis for patients with rectal cancer [J]. Ann Coloproctol, 2015, 31(1): 23-28.
DOI: 10.3393/ac.2015.31.1.23.
[10] Chow A, Tilney HS, Paraskeva E. The morbidity surrounding reversal of defunctioning ileostomies: a systematic review of 48 studies including 6, 107 eases [J]. Int J Colorectal Dis, 2009, 24(6):711-723.
[11] Williams LA, Sagar PM, Finan PJ, et al. The outcome of loopileostomy closure: a prospective study [J]. Colorectal Dis, 2008, 10(5): 460-464.
How to cite this paper
Prophylactic Ileostomy Related Complications of Laparoscopic Low Rectal Cancer Surgery and Analysis of the Timing of Recovery
How to cite this paper: Hao Zhang, Youzhong Ke, Hua Tang. (2023) Prophylactic Ileostomy Related Complications of Laparoscopic Low Rectal Cancer Surgery and Analysis of the Timing of Recovery. International Journal of Clinical and Experimental Medicine Research, 7(2), 117-120.
DOI: http://dx.doi.org/10.26855/ijcemr.2023.04.003
More Articles
- Effects of Different Anesthesia Methods on Heart Rate and Oxygen Saturation After Hip Surgery
- Effect Analysis of Ropivacaine Combined with Dezocine in Brachial Plexus Block Anesthesia
- Dynamics of Microbial Communities in Chronic Wounds and Their Role in Wound Healing
- Bibliometric Analysis of Epididymal Sperm Maturation Over the Past 20 Years
- Clinical Study on the Effect of General Anesthesia Combined with Continuous Epidural Anesthesia on Patients Undergoing Radical Gastrectomy for Gastric Cancer
- Research on the Intervention of Medical Social Work in End-of-life Care Services for Terminally Ill Cancer Patients: A Perspective Based on Chinese Family Culture