Application of one-stitch preventive ileostomy in anterior resection of low rectal cancer

doi:10.3877/cma.j.issn.2095-3224.2020.02.009

Abstract

Abstract:

Objective

To explore the technical advantages of one-stitch preventive ileostomy in anterior resection for low rectal cancer.

Methods

The clinical data of 80 low rectal cancer patients undergoing anterior resection and ileostomy from January 2016 to January 2019 in the General Surgery Department of Henan Cancer Hospital were analyzed prospectively. And they were divided into one-stitch ileostomy group (observation group, n=40) and traditional transverse colostomy group (control group, n=40) according to the random table method. Statistical analysis was performed for the two groups. We compared the operation time and the morbidity of postoperative complications associated with colostomy such as mucocutaneous separation, fecal dermatitis, ileostomy hernia, ileostomy prolapse and ileostomy retraction

Results

There were no significant differences in baseline data between the two groups (all P>0.05). The operation time of observation group was shorter than that of control group [(2.1±0.9) min vs. (15.2±4.6) min] (t=-17.510, P<0.05). Incidences of mucocutaneous separation,fecal dermatitis,ileostomy hernia were significantly lower in observation group (There was 1 case with mucocutaneous separation in the observation group and 15 cases in the control group; There were 3 cases with fecal dermatitis in the observation group and 32 cases in the control group; There were 0 case with ileostomy hernia in the observation group and 8 cases in the control group), (χ²=15.313, 42.717, 8.889; all P<0.05). There was no significant difference in ileostomy prolapse and ileostomy retraction between the groups (There were 2 cases with ileostomy prolapse in the observation group and 6 cases in the control group; There were 2 cases with ileostomy retraction in the observation group and 3 cases in the control group), (χ²=2.222, 0.213; all P>0.05).

Conclusion

One-stitch preventive ileostomy in anterior resection for low rectal cancer have advantage of operation and can reduce postoperative complications associated with colostomy.

Key words: Rectal neoplasms, One-stitch, Lower anterior resection, Ileostomy

Yuzhou Zhao, Guangsen Han, Pengfei Ma, Junli Zhang, Chenyu Liu, Yanghui Cao, Xijie Zhang. Application of one-stitch preventive ileostomy in anterior resection of low rectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(02): 157-161.

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References 20

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指标		观察组（n=40）	对照组（n=40）	χ²值	P值
性别		?	?	0.487	0.485
?	男	27	24	?	?
?	女	13	16	?	?
年龄（岁）		?	?	0.912	0.340
?	≥50	25	29	?	?
?	<50	15	11	?	?
肿瘤位置（cm）		?	?	1.352	0.245
?	距肛门≥7	12	17	?	?
?	距肛门<7	28	23	?	?
肿瘤直径（cm）		?	?	0.213	0.644
?	<5	26	24	?	?
?	≥5	14	16	?	?
T分期		?	?	1.306	0.521
?	T1~2	7	11	?	?
?	T3	20	19	?	?
?	T4	13	10	?	?
分化		?	?	0.464	0.496
?	高分化	22	25	?	?
?	中低分化及黏液	18	15	?	?

指标		观察组（n=40）	对照组（n=40）	χ²值	P值
性别		?	?	0.487	0.485
?	男	27	24	?	?
?	女	13	16	?	?
年龄（岁）		?	?	0.912	0.340
?	≥50	25	29	?	?
?	<50	15	11	?	?
肿瘤位置（cm）		?	?	1.352	0.245
?	距肛门≥7	12	17	?	?
?	距肛门<7	28	23	?	?
肿瘤直径（cm）		?	?	0.213	0.644
?	<5	26	24	?	?
?	≥5	14	16	?	?
T分期		?	?	1.306	0.521
?	T1~2	7	11	?	?
?	T3	20	19	?	?
?	T4	13	10	?	?
分化		?	?	0.464	0.496
?	高分化	22	25	?	?
?	中低分化及黏液	18	15	?	?

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