Self close intubation ileostomy in the prevention of anastomotic leakage of anterior resection after neoadjuvant chemoradiation in patients of low rectal carcinoma
10.3760/cma.j.issn.1007-631X.2014.07.014
- VernacularTitle:自闭性回肠插管造口预防直肠癌新辅助放化疗后低位前切除患者吻合口漏
- Author:
Changling TANG
;
Zhe PAN
;
Caizhao LIN
;
Jianjiang LIN
;
Jiahe XU
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Ileostomy;
Anastomotic leakage;
Neoadjuvant therapy
- From:
Chinese Journal of General Surgery
2014;29(7):531-533
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and applicability of a temporary protective ileostomy that closes itself in the prevention of anastomotic leakage following anterior resection after chemoradiation for rectal cancer.Methods From Oct 2010 to Oct 2013,54 cases of middle or low rectal carcinoma were admitted.Protective ileostomy was created to prevent anastomotic leakage.Patients were divided into two groups receiving respectively intubation ileostomy (group A,28 cases),and conventional ileostomy (group B,26 cases).Results The mean time for anus to restore defecation was identical in the two groups.The period of protection of the anastomosis,was 21 d (15 ～ 35 d) in group A.The rate of spontaneous closure of the stoma after removal of the tube was 100％.The stoma was reduced after 3 to 6 months in group B and major complication developed in one case in this group.Conclusions Temporary ileostomy prevents anastomotic leakage of anterior resection in patients of rectal carcinoma receiving preoperative neoadjuvant chemoradiotherapy.Intubation ileostomy is effective and safe in prevention of anastomotic leakage saving stoma reduction procedures.
