Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy
Abstract Background Both loop ileostomy (LI) and loop transverse colostomy (LTC) could achieve absolute fecal diversion and have several advantages. This study compared LI and LTC following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy. Methods Between Jan...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40001-018-0325-x |
| _version_ | 1828973033911484416 |
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| author | Xin Wu Guole Lin Huizhong Qiu Yi Xiao Bin Wu Miner Zhong |
| author_facet | Xin Wu Guole Lin Huizhong Qiu Yi Xiao Bin Wu Miner Zhong |
| author_sort | Xin Wu |
| collection | DOAJ |
| description | Abstract Background Both loop ileostomy (LI) and loop transverse colostomy (LTC) could achieve absolute fecal diversion and have several advantages. This study compared LI and LTC following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy. Methods Between January 2009 and December 2016, 186 patients who underwent laparoscopic low anterior resection for rectal cancer and loop ostomy were included. All patients received preoperative neoadjuvant chemoradiotherapy. Of these, 77 underwent LI and 109 underwent LTC. Demographic characteristics, operative details, and complications were analyzed. Results In the fecal diversion period, the LTC group showed significantly less dermatitis (p = 0.001) and electrolyte disturbance (p = 0.002), while LI group showed significantly shorter time to first defecation (p = 0.006) and lower incidence of parastomal hernia (p = 0.014). In the stoma closure period, a significantly higher incidence of wound infection was found in LTC group (p = 0.001). Conclusions Both LI and LTC have advantages and disadvantages. For its lower wound infection rate, lower incidence of parastomal hernia, and shorter time to first defecation, LI is recommended for all patients except those with potential electrolyte disturbance and sensitive skin. |
| first_indexed | 2024-12-14T13:39:12Z |
| format | Article |
| id | doaj.art-94955b392623451f80fce76235e922b6 |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-12-14T13:39:12Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-94955b392623451f80fce76235e922b62022-12-21T22:59:29ZengBMCEuropean Journal of Medical Research2047-783X2018-05-012311510.1186/s40001-018-0325-xLoop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapyXin Wu0Guole Lin1Huizhong Qiu2Yi Xiao3Bin Wu4Miner Zhong5Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract Background Both loop ileostomy (LI) and loop transverse colostomy (LTC) could achieve absolute fecal diversion and have several advantages. This study compared LI and LTC following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy. Methods Between January 2009 and December 2016, 186 patients who underwent laparoscopic low anterior resection for rectal cancer and loop ostomy were included. All patients received preoperative neoadjuvant chemoradiotherapy. Of these, 77 underwent LI and 109 underwent LTC. Demographic characteristics, operative details, and complications were analyzed. Results In the fecal diversion period, the LTC group showed significantly less dermatitis (p = 0.001) and electrolyte disturbance (p = 0.002), while LI group showed significantly shorter time to first defecation (p = 0.006) and lower incidence of parastomal hernia (p = 0.014). In the stoma closure period, a significantly higher incidence of wound infection was found in LTC group (p = 0.001). Conclusions Both LI and LTC have advantages and disadvantages. For its lower wound infection rate, lower incidence of parastomal hernia, and shorter time to first defecation, LI is recommended for all patients except those with potential electrolyte disturbance and sensitive skin.http://link.springer.com/article/10.1186/s40001-018-0325-xTemporary loop ostomyLoop ileostomyLoop transverse colostomyRectal cancerNeoadjuvant chemoradiotherapy |
| spellingShingle | Xin Wu Guole Lin Huizhong Qiu Yi Xiao Bin Wu Miner Zhong Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy European Journal of Medical Research Temporary loop ostomy Loop ileostomy Loop transverse colostomy Rectal cancer Neoadjuvant chemoradiotherapy |
| title | Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy |
| title_full | Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy |
| title_fullStr | Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy |
| title_full_unstemmed | Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy |
| title_short | Loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy |
| title_sort | loop ostomy following laparoscopic low anterior resection for rectal cancer after neoadjuvant chemoradiotherapy |
| topic | Temporary loop ostomy Loop ileostomy Loop transverse colostomy Rectal cancer Neoadjuvant chemoradiotherapy |
| url | http://link.springer.com/article/10.1186/s40001-018-0325-x |
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