Study on the Safety and Efficacy of Protective Ostomy in Laparoscopic Radical Resection of Ultra-low Rectal Cancer
Objective:To study the safety and efficacy of protective ostomy in laparoscopic radical resection of ultra-low rectal cancer.Method:The clinical data of 70 patients undergoing laparoscopic radical resection of ultra-low rectal cancer treated in Pingxiang People's Hospital from September 2019 to April 2023 were retrospectively analyzed.Patients who did not receive protective ostomy were set as the control group(n=38)and patients who received prophylactic terminal ileostomy were set as the observation group(n=32).Perioperative indexes,inflammatory factors levels,situation of fecal incontinence and complications were compared between the two groups.Result:The operation time of observation group was longer than that of control group,and the first defecation time,first exhaust time and postoperative hospitalization time were shorter than those of control group(P<0.05).There was no significant difference in intraoperative bleeding volume between the two groups(P>0.05).C reactive protein(CRP)and neutrophil(N)in both groups were decreased 72 h after surgery compared with 24 h after surgery,and CRP and N in observation group were lower than those in control group(P<0.05).The Wexner incontinence scores in both groups were decreased 6 months after surgery,and the european organization for research and treatment of cancer(EORTC)quality of life questionnaire(QLQ-C30)scores showed an increasing trend 1,3,6 months after surgery,and the Wexner incontinence score of the observation group was lower than that of the control group,EORTC QLQ-C30 scores were higher than those of the control group(P<0.05).The total complication rate of observation group(6.25%)was lower than that of control group(23.68%)(P<0.05).Conclusion:Protective ostomy for patients undergoing radical ultra-low rectal cancer under laparoscope has good safety,can promote the recovery of anal function,has less impact on the body,and can improve the quality of life.
Protective ostomyLaparoscopeRadical resection of ultra-low rectal cancerSafetyEfficacy
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