Benefits and risks of diverting stoma creation during rectal cancer surgery

A consensus has been reached regarding diverting stoma (DS) construction in rectal cancer surgery to avoid reoperation related to anastomotic leakage. However, the incidence of stoma-related complications (SRCs) remains high. In this study, we examined the perioperative outcomes of DS construction i...

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Bibliographic Details
Published in:Annals of coloproctology 2024, 40(5), , pp.467-473
Main Authors: Kawai, Masaya, Sakamoto, Kazuhiro, Honjo, Kumpei, Okazawa, Yu, Takahashi, Rina, Kawano, Shingo, Munakata, Shinya, Sugimoto, Kiichi, Ishiyama, Shun, Takahashi, Makoto, Kojima, Yutaka, Tomiki, Yuichi
Format: Article
Language:English
Subjects:
diverting stoma
Original
outlet obstruction
rectal cancer
stoma-related complication
일반외과학
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Summary:A consensus has been reached regarding diverting stoma (DS) construction in rectal cancer surgery to avoid reoperation related to anastomotic leakage. However, the incidence of stoma-related complications (SRCs) remains high. In this study, we examined the perioperative outcomes of DS construction in patients who underwent sphincter-preserving surgery for rectal cancer. We included 400 participants who underwent radical sphincter-preserving surgery for rectal cancer between 2005 and 2017. These participants were divided into the DS (+) and DS (-) groups, and the outcomes, including postoperative complications, were compared. The incidence of ileus was higher in the DS (+) group than in the DS (-) group (P
ISSN:2287-9714
2287-9722
DOI:10.3393/ac.2022.00353.0050