Recent progress in early closure of protective ileostomy after rectal cancer surgery
10.3760/cma.j.cn115396-20230627-00183
- VernacularTitle:直肠癌术后预防性回肠造口早期还纳的研究进展
- Author:
Shengze LI
1
;
Chunbao ZHAI
Author Information
1. 山西医科大学第五临床医学院结直肠肛门外科，太原 030012
- Keywords:
Ileostomy;
Rectal neoplasms;
Early closure;
Neoadjuvant chemoradiotherapy;
Complications
- From:
International Journal of Surgery
2023;50(9):624-630
- CountryChina
- Language:Chinese
-
Abstract:
The timing for closure of prophylactic ileostomy after rectal cancer surgery is not unified, and it is generally recommended to return the stoma after 3 months. With the application of enhanced recovery after surgery in clinical patients and the continuous progress of technology, the effectiveness and safety of early ileostomy closure (EIC) are the focus of current researches. More and more patients with rectal cancer begin to receive neoadjuvant chemoradiotherapy, which also brings uncertainty to the time of ileostomy closure. prophylactic ileostomy not only brings about stoma-related complications, but also brings great psychological burden to patients. Some patients have an urgent need for EIC, but there is no consensus on the optimal timing for EIC and which patients need EIC. This article reviews the advantages, controversies, optimal timing, the influence of chemoradiotherapy, the indications and contraindications of early closure and provide reference for clinicians.
