Low anterior laparoscopic resection of rectal cancer with specimen removal through a preventive ostomy incision
10.3760/cma.j.cn113855-20211018-00608
- VernacularTitle:腹腔镜直肠癌低位前切除术经预防造口切口娩出标本的安全性与可行性
- Author:
Junren MA
1
;
Huihui LIU
;
Xinyi LIN
;
Siyi LU
;
Wei FU
;
Xin ZHOU
Author Information
1. 北京大学第三医院普通外科，北京 100191
- Keywords:
Rectal neoplasms;
Ileostomy;
Laparoscopy
- From:
Chinese Journal of General Surgery
2022;37(10):725-729
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of cancer tissue specimen delivery through a preventive ostomy incision during laparoscopic radical resection of rectal cancer .Methods:A total of 155 patients undergoing laparoscopic radical rectal cancer combined with prophylactic ileostomy at Peking University Third Hospital from Oct 2016 to Sep 2021 were retrospectively divided into two groups according to where the specimens were delivered through prophylactic colostomy incision (46 cases) or through newly made suprapubic incision (109 cases).Results:The by prophylactic colostomy incision delivery group had shorter surgery time [(243±66) min vs. (281±73) min, t=3.003, P<0.01] and shorter postoperative hospital stay [(7.5±2.2) d vs. (8.8±4.3）d， t=2.516， P<0.05], while there were no significant differences in intraoperative blood loss, intraoperative blood transfusion, postoperative first time of flatus, surgery-related complications and ostomy-related complications between the two groups (all P>0.05). Though the ostomy size in the prevention colostomy group was larger ( P<0.01), but there were no significant differences in the ostomy related complications between the two groups ( P>0.05). Conclusions:Laparoscopic radical resection of rectal cancer with specimen delivery through a preventive ostomy incision is of more aesthetic advantages without causing higher postoperative complications.
