Abstract:

Objective

To evaluate the effectiveness of the “Skin bridge loop ileostomy” technique in radical resection for low rectal cancer，and to share our clinical insights gained from this approach.

Methods

We prospectively collected 184 patients who underwent laparoscopic radical resection for low rectal cancer and received prophylactic ileostomy at the terminal ileum using the “skin - bridge loop ileostomy”. All patients were followed up，relevant clinical data were statistically analyzed，and postoperative complications were observed. The common stoma-related problems in the peri-operative period of this method were analyzed and discussed.

Results

Ileostomy was performed in 184 patients with a median duration of 5 min. Ileostomy reduction was performed in 118 patients with a median duration of 48 min，of which 54 patients underwent ileostomy reduction at 6 months postoperatively，with a median duration of 47 min.Sixty-four patients underwent ileostomy reduction at more than 6 months postoperatively，with a median duration of 53.5 min. A total of 27 patients （14.67%） experienced stoma-related complications. Among them，fifteen patients （8.15%） stoma skin-mucosal separation，six patients （3.26%） developed parastomal hernia，ten patients （5.43%） developed peristomal dermatitis，four patients （2.17%） developed stoma hemorrhage，and 2 patient （1.09%） developed stoma stenosis.

Conclusion

The “skin bridge loop ileostomy” technique in radical resection for low rectal cancer has a short operation time. The incidence of stoma - related complications is relatively low. However，attention should be paid to the details of this operation.

Key words: Rectal neoplasms, Ileostomy, Skin bridge method, Prospective research