Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study

Purpose To compare the surgical outcomes of ileostomy vs. transverse colostomy and investigate which is more suitable for a diverting stoma. Methods We assessed stoma-related complications and surgical outcomes, retrospectively, for 146 patients who underwent laparoscopic colorectal surgery with a t...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2023-05, Vol.53 (5), p.621-627
Main Authors: Higashimoto, Iku, Teshima, Jin, Ozawa, Yohei, Usuda, Masahiro, Miyata, Go
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - methods
Colorectal Surgery
Colostomy - methods
Humans
Ileostomy - methods
Laparoscopy
Medicine
Medicine & Public Health
Original Article
Postoperative Complications - epidemiology
Retrospective Studies
Surgery
Surgical Oncology
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Summary:Purpose To compare the surgical outcomes of ileostomy vs. transverse colostomy and investigate which is more suitable for a diverting stoma. Methods We assessed stoma-related complications and surgical outcomes, retrospectively, for 146 patients who underwent laparoscopic colorectal surgery with a temporary loop ileostomy or transverse colostomy. Complications after secondary stoma closure surgery were also analyzed. Results After the primary surgery, the incidence of prolapse was significantly higher in the transverse colostomy group, whereas high-output stoma and skin irritation were seen more frequently in the ileostomy group. The median interval to stoma closure was shorter in the ileostomy group than in the transverse colostomy group (144 vs. 196 days). After secondary closure surgery, the incidence of wound infection was significantly higher in the transverse colostomy group than in the ileostomy group. None of the patients in the ileostomy group had severe complications. The median postoperative hospital stay was significantly shorter in the ileostomy group than in the transverse colostomy group (10 vs. 13 days). Conclusions The findings of this study suggest that ileostomy should be the procedure of choice for short-term temporary diverting stoma, but that transverse colostomy is more appropriate for patients who require a long-term or permanent stoma.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-022-02632-2