The advantages and disadvantages of protective ileostomy in low rectal cancer surgery

doi:10.3877/cma.j.issn.2095-3224.2015.01.20

Abstract

Key words: Low rectal cancer, Anus-preserving surgery, Protective ileostomy, Anastomotic leakage

Hong-hu WANG, Hao XU, Zhen-ning WANG, Hui-mian XU. The advantages and disadvantages of protective ileostomy in low rectal cancer surgery[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(01): 78-80.

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References 15

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比较项目		患者例数
性别		?
?	男	64
?	女	43
年龄		?
?	≤60岁	48
?	>60岁	59
分化程度		?
?	高分化	52
?	中分化	43
?	低分化	12
大体分型		?
?	溃疡型	77
?	浸润型	30
组织学分型		?
?	管状腺癌	48
?	乳头状腺癌	32
?	绒毛状腺癌	27
肿瘤下缘距肛缘		?
?	6～8 cm	58
?	<6 cm	49
术前情况		?
?	合并肠梗阻或不全肠梗阻	59
?	接受新辅助放化疗	39
?	合并基础疾病	31
?	合并中重度贫血或营养不良	57
?	术前评估拟术后入ICU	24

比较项目		患者例数
性别		?
?	男	64
?	女	43
年龄		?
?	≤60岁	48
?	>60岁	59
分化程度		?
?	高分化	52
?	中分化	43
?	低分化	12
大体分型		?
?	溃疡型	77
?	浸润型	30
组织学分型		?
?	管状腺癌	48
?	乳头状腺癌	32
?	绒毛状腺癌	27
肿瘤下缘距肛缘		?
?	6～8 cm	58
?	<6 cm	49
术前情况		?
?	合并肠梗阻或不全肠梗阻	59
?	接受新辅助放化疗	39
?	合并基础疾病	31
?	合并中重度贫血或营养不良	57
?	术前评估拟术后入ICU	24

术后一般情况	时间(d)
经肛排气时间	2.1±0.4
经口进全流食时间	2.2±0.3
拔出骶前引流管时间	8.2±2.6
术后住院时间	9.7±2.5

术后一般情况	时间(d)
经肛排气时间	2.1±0.4
经口进全流食时间	2.2±0.3
拔出骶前引流管时间	8.2±2.6
术后住院时间	9.7±2.5

术后情况	例数	所占总例数百分比(%)
死亡	0	0
入ICU重症监护	27	25.23
吻合口漏	2	1.87
重度腹泻，电解质紊乱	17	15.89
造瘘口小肠近端狭窄，梗阻	7	6.54
废用性肠炎	11	10.28
切口感染	6	5.61
直肠吻合口狭窄	37	34.58
再次出现吻合口漏	1	0.93
行还瘘手术	91	85.05
未/不适宜还瘘手术	16	14.95

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