Clinical Value of Preventive Ileostomy in Laparoscopic Radical Resection of Low Rectal Cancer

Baokun Li, Feifei Wang, Fei Yang, Jaxu Han, Zesong Meng, Guanglin Wang, Chaoxi Zhou, Bin Yu and Guiying Wang

Department of Surgery, Fourth Clinical Medical College of Hebei Medical University, China Department of Otolaryngology, Fourth Clinical Medical College of Hebei Medical University, China

^*Correspondance to: Guiying Wang 

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Abstract:

Objective: To explore the application effect of ileostomy in laparoscopic radical resection of low rectal cancer, and to provide reference basis for clinical treatment. Methods: In this study, 76 cases of patients with laparoscopic low rectal cancer underwent preventive application of terminal ileostomy in our hospital, and compared with another group of 50 cases of patients with laparoscopic low rectal cancer without terminal ileostomy, and observed the occurrence of postoperative anastomotic fistula in the two groups. Results: Compared with the non fistula group, the patients in the fistula group had shorter postoperative exhaust time (12.1 ± 1.9) H vs. (26.0 ± 2.0) h, earlier eating time (15.0 ± 3.1) H vs. (25.8 ± 2.2) h, lower anastomotic incidence (1 (1.3)) n% vs. (7 (14.0)) n%, shorter drainage tube extraction time (2.2 ± 0.6) d vs. (7.6 ± 0.6) d, shorter hospitalization time (5.2 ± 0.7) d vs. (9.8 ± 0.7) d. There were significant differences between the two groups (P<0.05). Conclusion: For elderly patients with low rectal cancer, in laparoscopic radical resection of low rectal cancer, preventive fistula can significantly shorten the exhaust time and hospital stay, shorten the drainage tube extraction time, and reduce the incidence of anastomotic fistula. Therefore, preventive fistula is a very safe and effective treatment.

Keywords:

Elderly patients with low rectal cancer; Ileum preventive fistula; Anastomotic fistula

Cite the Article:

Li B, Wang F, Yang F, Han J, Meng Z, Wang G, et al. Clinical Value of Preventive Ileostomy in Laparoscopic Radical Resection of Low Rectal Cancer. World J Surg Surgical Res. 2022; 5: 1407.