Clinical application of ileostomy with type B suture
10.3760/cma.j.cn113855-20230817-00063
- VernacularTitle:B型缝合法回肠造口术的临床应用
- Author:
Longhe SUN
1
;
Jiajie ZHOU
;
Wei WANG
;
Qi ZHANG
;
Chunhua QIAN
;
Shuai ZHAO
;
Ruiqi LI
;
Qiannan SUN
;
Daorong WANG
Author Information
1. 扬州大学临床医学院普外科，扬州 225001
- Keywords:
Rectal neoplasms;
Ileostomy;
Postoperative complications;
Laparoscopy
- From:
Chinese Journal of General Surgery
2024;39(3):211-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate safety and efficacy of B-type suture method ileostomy.Methods:Clinical data from 204 patients undergoing laparoscopic low anterior resection combined with protective ileostomy was analysed. Patients were divided into B-type suture ileostomy group ( n=67) and traditional ileostomy group ( n=137). Results:compared with traditional ileostomy group, B-type suture ileostomy group showed statistically significant differences in total operation time [(164±26) min vs. (172±24) min, t=2.229, P=0.027], ileostomy time [(12.7±2.3) min vs. (14.8±2.2) min, t=-6.565, P<0.001], blood loss [(57±20) ml vs. (69±31) ml, t=-2.797, P=0.006], postoperative hospital stay [(10.2±1.9) d vs. (11.8±2.3) d, t=-4.851, P<0.001], specimen incision infection rate (0 vs. 5.1%, P=0.047), postoperative body pain [82 (79-84) vs. 78 (76-80), Z=-5.805, P<0.001], and ileostomy incorporation time [(46±11) min vs. (51±12) min, t=-2.540, P=0.012]. Conclusion:B-type suture ileostomy for prophylactic ileostomy in laparoscopic low anterior resection for rectal cancer is safe and feasible.
