Elective diverting ileostomy may reduce consequences of anastomotic failure in laparoscopic TME. Aiming to evaluate the effectiveness of elective diverting ileostomy, its impact on the incidence and clinical behavior of anastomotic leakage and the complications related to its presence and take down were analyzed.
From a prospective collected database, data regarding patients who underwent to laparoscopic TME, with (Group 1) or without (Group 2) elective diverting ileostomy for rectal cancer from 2012 to 2017 at University Campus Bio-Medico di Roma, have been retrospectively analyzed.
Study Type
OBSERVATIONAL
Enrollment
150
Number of participants with anastomotic leakage
Leakage was defined on the basis of perianastomotic drain appearance and/or of radiological findings during postoperative X-Ray or abdominal CT scan enema
Time frame: 90 days
Number of participants with post-operative complications
post-operative complication in patients submitted to Anterior Rectal Resection
Time frame: 90 days
Number of participants with fever Surgical site infection Abdominal collections Anastomotic leakage Anastomotic bleeding Perforation Anastomotic stenosis Number of participants with fever
post-operative fever in patients submitted to Anterior Rectal Resection
Time frame: 90 days
Number of participants with surgical site infection
post-operative surgical site infection in patients submitted to Anterior Rectal Resection
Time frame: 90 days
Number of participants with abdominal collections
post-operative abdominal collections in patients submitted to Anterior Rectal Resection
Time frame: 90 days
Number of participants with anastomotic bleeding
post-operative anastomotic bleeding in patients submitted to Anterior Rectal Resection
Time frame: 90 days
Number of participants with perforation
post-operative perforation in patients submitted to Anterior Rectal Resection
Time frame: 90 days
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Number of participants with anastomotic stenosis
post-operative anastomotic stenosis in patients submitted to Anterior Rectal Resection
Time frame: 90 days