Comparison of clinical effects of a novel stent assisted intestinal bypass and temporary loop ileostomy in laparoscopic low anterior resection of rectal cancer
10.3760/cma.j.cn113855-20221204-00755
- VernacularTitle:腹腔镜直肠癌低位前切除术中应用支架法肠道转流术与临时性回肠造口术的临床效果对比
- Author:
Liushiyang XU
1
;
Shiyu HU
;
Wanbo HUANG
;
Jianming XIE
;
Jiabin YANG
;
Yongfang YIN
;
Haixiang DING
;
Zhilong YAN
Author Information
1. 宁波大学医学部研究生院，宁波 315211
- Keywords:
Rectal neoplasms;
Stents;
Postoperative complications;
Health care costs
- From:
Chinese Journal of General Surgery
2023;38(6):401-406
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical value of stent assisted intestinal bypass and temporary loop ileostomy in laparoscopic low anterior resection of rectal cancer.Method:In this retrospective analysis, 57 patients undergoing laparoscopic low anterior resection for rectal cancer in the First Affiliated Hospital of Ningbo University from Jan 2020 to Jan 2022 were divided into intestinal bypass group (36 cases) and loop ileostomy group (21 cases).Result:There were no significant differences in postoperative GI function recovery and postoperative complication rate between the two groups (all P>0.05). The levels of albumin, prealbumin and hemoglobin in the intestinal bypass group were better than those in the ileostomy group when evaluated on 3rd months after operation [(40.5±2.3) g/L vs. (38.1±2.6)g/L、(26.4±2.7)mg/dl vs. (24.5±2.0)mg/dl、(137.6±5.9) g/L vs. (134.0±7.0) g/L, t=3.605、2.743、2.085, all P<0.05]. Hospital expenses of the intestinal bypass group was lower [(571 000±7 500) yuan vs. (69 300±9 100) yuan, t=-5.477, P<0.05]. Conclusion:Compared with traditional ileostomy, the stent assisted intestinal bypass reduces trauma with lower expenses and improves patients' status after laparoscopic low anterior resection for rectal cancer.
