Single-incision laparoscopic ileostomy is a safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection.
10.4174/astr.2018.95.6.319
- Author:
Duk Yeon HWANG
1
;
Gyeo Ra LEE
;
Ji Hoon KIM
;
Yoon Suk LEE
Author Information
1. Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
Ileostomy;
Laparoscopy;
Anastomotic leak;
Minimally invasive surgical procedures
- MeSH:
Anastomotic Leak*;
Demography;
Hemorrhage;
Hernia;
Humans;
Ileostomy*;
Laparoscopy;
Length of Stay;
Methods*;
Minimally Invasive Surgical Procedures;
Pain, Postoperative;
Surgical Wound Infection
- From:Annals of Surgical Treatment and Research
2018;95(6):319-323
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Currently, many operations are performed using the single-incision laparoscopic method. Although there have been recent reports on single-incision laparoscopic ileostomy, none have compared this method to conventional laparoscopic ileostomy. This study aimed to assess the safety and feasibility of single-incision laparoscopic ileostomy for anastomotic leakage following laparoscopic low anterior resections. METHODS: From April 2012 to April 2017, 38 patients underwent laparoscopic ileostomy (single-incision; 19 patients referred to as group A, conventional laparoscopy; 19 patients referred to as group B) for anastomotic leakage following laparoscopic low anterior resection. We analyzed surgical and clinical outcomes between the 2 groups. Patients in whom a protective ileostomy was carried out during the initial laparoscopic low anterior resection were excluded from this study. RESULTS: No significant differences were observed between the 2 groups in terms of patient demographics and initial operation details. Incisional surgical site infections occurred less in group A than in group B (2 of 19 vs. 9 of 19, P = 0.029). The median ileostomy operation time, amount of intraoperative bleeding, parastomal hernia ratio, hospital stay duration after ileostomy, postoperative pain score were not significantly different between the 2 groups. CONCLUSION: Single-incision laparoscopic ileostomy is safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection.
