Clinical Efficacy of Transverse Prophylactic Ileostomy for Anterior Resection of Rectal Cancer
Objective To explore a thorough bypass,safer and more convenient ileostomy method for an-terior resection of rectal cancer.Methods Data of 143 patients with prophylactic ileostomy after anterior resection of rectal cancer admitted to Gansu Provincial Clinical Medical Research Center for Colorectal Dis-eases from January 2022 to June 2023 were retrospectively analyzed,and divided into the following 4 groups according to different ostomy methods.Transverse incision and proximal ileum were placed in the cephalic(34 cases,hereinafter referred to as group A),and transverse incision and proximal ileum were placed in the caudal(35 cases,hereinafter referred to as group B).Longitudinal incision and proximal ileum were placed in the cephalic(35 cases,hereinafter referred to as group C),and longitudinal incision and proximal ileum were placed in the caudal(39 cases,hereinafter referred to as group D).The performance of the oper-ation,the time of ostomy operation and reversal operation,the exhaust time or intestinal fluid drainage time after operation,the amount of blood loss during the reversal operation,the thoroughness of bypass,and the complications related to the operation were compared among all groups.Results All 143 patients suc-cessfully completed prophylactic ileostomy,and ileum was successfully restored 3～5 months after opera-tion,during which no anastomotic leakage occurred.There were no significant differences in the time of os-tomy operation and reversal operation,the exhaust time or intestinal fluid drainage time after operation,and the amount of blood loss during the reversal operation among the 4 groups(P＞0.05).The propor-tion of patients with thorough bypass in the group A+B was significantly higher than that in the group C+D(P＜0.05).There was no significant difference in the proportion of patients with thorough bypass between group A+C and group B+D(P＞0.05).There was no significant difference in the incidence of stoma-related complications among the 4 groups(P＞0.05).Conclusion There are significant differ-ences in the thoroughness of bypass after transverse and longitudinal ileostomy,and the bypass of trans-verse ileostomy has better results.Transverse ileostomy is a more thorough,safer and convenient ostomy method for patients who need an ileostomy for anterior resection of rectal cancer.
Prophylactic ileostomyRadical resection of rectal cancerOperation modeClinical efficacy
NETL
NSTL
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