This is prospective, multi centre study evaluating a novel type of defunctioning loop stoma after low anterior resection for rectal cancer. Patients will be operated with a complete splenic flexure mobilisation and total mesorectal excision. An anastomosis will be fashioned at the pelvic floor. This will leave a redundant colon which will be brought up and matured in the left iliac fossa. Patient bowel function and quality of life will be monitored at baseline and at one year postoperatively, when the stoma will typically have been reversed. Dehydration and kidney injury are expected to become infrequent in comparison with the main alternative loop ileostomy. About 20 patients will be included in this pilot study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Descending or left transverse double-barrelled loop colostomy in left iliac fossa after complete splenic flexure mobilisation, mesorectal excision, and anastomosis.
Umeå University Hospital
Umeå, Sweden
RECRUITINGLow anterior resection syndrome (LARS)
Rate of major LARS (score 31-42) as measured by the LARS questionnaire, which assesses bowel dysfunction.
Time frame: 1 year
Bowel ischaemia
Rate of ischaemia/necrosis of the colonic limb due to marginal artery compromise.
Time frame: 30 days
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