Benefits of laparoscopy-assisted ileostomy in colorectal cancer patients with bowel obstruction  

作　　者：Yi-Jie Wang Kuan-Hsun Lin Jung-Cheng Kang Je-Ming Hu Chao-Yang Chen Ta-Wei Pu 

机构地区：[1]Department of Surgery,Tri Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [2]Division of Thoracic Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [3]Division of Colon and Rectal Surgery,Department of Surgery,Taiwan Adventist Hospital,Taipei 105,Taiwan [4]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [5]Division of Colon and Rectal Surgery,Department of Surgery,Songshan branch,Tri-Service General Hospital,National Defense Medical Center,Taipei 105,Taiwan

出　　处：《World Journal of Clinical Cases》2023年第24期5660-5665,共6页世界临床病例杂志

摘　　要：BACKGROUND Ileostomies are commonly performed after colon and rectal surgeries.Laparoscopy-assisted ileostomy with adhesion lysis may have potential benefits over conventional open surgery.AIM To compare the outcomes of laparoscopy-assisted and conventional ileostomies.METHODS Data from 48 consecutive patients who underwent ileostomy at our institution between May 2021 and May 2022 were retrospectively analyzed.The groups comprised 26 and 22 patients who underwent laparoscopic ileostomy(laparoscopic group)and conventional ileostomy(conventional group),respectively,performed by a single surgeon.Patient demographics,operative characteristics,postoperative outcomes,and 30-d morbidities and mortality rates were analyzed.RESULTS The two groups had comparable mean ages,sex distributions,American Society of Anesthesiologists scores,and body mass indices.However,the laparoscopic group showed similar operative time,better visualization for adhesion lysis,and lower visual analog scale scores than the conventional group.CONCLUSION Laparoscopy-assisted ileostomy is a safe and efficient method that produces lower visual analog scale scores,better intraoperative visualization for effective adhesion lysis,and similar operative time compared with conventional ileostomy.

关 键 词：LAPAROSCOPY ILEOSTOMY Colorectal cancer Bowel obstruction Tissue adhesion Retrospective study 

分 类 号：R656.9[医药卫生—外科学]