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Conditions
Interventions
Experimental group:A set of preoperative preparation procedure (endoluminal draining after surgery + digital anal dilatation + efferent loop stimulation + anal sphincter exercise)
Control goup:Routine Waiting
Sponsors
Beijing Cancer Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 75 years; 2. Physical condition ECOG score 0-1; 3. Pathologically diagnosed rectal adenocarcinoma; 4. The distance between the lower edge of the tumor and the anal verge is less than or equal to 12cm (endoscopy) or the distance from the anorectal ring (ARJ) is less than or equal to 8cm; 5. Received neoadjuvant chemoradiotherapy before LAR; 6. Before participating in this study, sign the informed consent for the study; 7. Preoperative endoscopy to confirm that there is no anastomotic leakage before the closure of the ileostomy; 8. A protective ileostomy was added to the low anterior resection of rectal cancer and the return was completed 6 months after the operation.
Exclusion criteria
Exclusion criteria: 1. Patients with recurrent rectal cancer; 2. Liver cirrhosis or abnormal coagulation mechanism; 3. The individual lacks the ability of independent thinking, judgment and action, and cannot fill in the questionnaire as required; 4. The patient is a woman who is pregnant or breastfeeding; 5. The patient has other diseases or abnormal mental state, which may affect the patient's participation in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sum of anastomotic stricture rate before ileostomy closure and rate of postoperative ileus after ileostomy.; | — |
Secondary
| Measure | Time frame |
|---|---|
| anastomotic leakage rate after ileostomy;time to resume diet after ileostomy ;time of hospital stay;low anterior resection syndrome score;recovery time of exsufflation and defecation; | — |
Countries
China
Contacts
Public ContactZhan Tiancheng
Beijing Cancer Hospital
Outcome results
None listed