Systematic review and meta-analysis comparing extraperitoneal and transperitoneal routes of colostomy-related complications  

作　　者：Adamu D Isah Xu Wang Zakari Shaibu Xiao Yuan Sheng-Chun Dang 

机构地区：[1]Department of Gastrointestinal Surgery,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu Province,China [2]Department of Radiation Oncology,Institute of Oncology,Affiliated Hospital,Jiangsu University,Zhenjiang 212000,Jiangsu Province,China [3]Department of Radiation Oncology,Cancer Institute of Jiangsu University,Affiliated Hospital of Jiangsu University,Zhenjiang 212000,Jiangsu Province,China [4]School of Medicine,Jiangsu University,Zhenjiang 212013,Jiangsu Province,China [5]Department of General Surgery,The Affiliated Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期357-369,共13页世界胃肠外科杂志(英文)

摘　　要：BACKGROUND Complications associated with stomas—including parastomal hernia(PSH),pro-lapse,mucocutaneous separation,and stoma retraction—provide considerable postoperative challenges for colostomy patients.Selecting between extraperi-toneal colostomy(EPC)and transperitoneal colostomy(TPC)pathways is there-fore essential for mitigating these complications.AIM To analyze the existing data regarding the efficacy of EPC compared to TPC in reducing stoma-related complications post-colostomy.METHODS PubMed,Google Scholar,EMBASE,MEDLINE,and the Cochrane Library were adopted to uncover pertinent papers in which EPC and TPC approaches were compared.We then conducted a meta-analysis using RevMan 5.4.1.RESULTS Both laparoscopic(Lap)and open approaches showed a reduced incidence of PSH in EPC relative to TPC(P<0.00001 and P=0.02 respectively).In addition,Lap EPC depicted a lesser incidence of prolapse,mucocutaneous separation,and stoma retraction(P=0.007,P=0.03,and P=0.01,respectively)compared to Lap TPC.However,EPC and TPC did not differ with respect to operation time,blood loss,edema,ischemia,necrosis,or infection after the LAP approach.CONCLUSION The extraperitoneal approach may provide benefits in minimizing some stoma-related problems such as PSH,pro-lapse,mucocutaneous separation,and stoma retraction after colostomy surgery.

关 键 词：COLOSTOMY EXTRAPERITONEAL TRANSPERITONEAL Parastomal hernia Abdominoperineal resection 

分 类 号：R656.3[医药卫生—外科学]