rectal cancer
Conditions
Interventions
Bracket diversion group:A disintegrating intestinal stent was implanted in the colo-intestinal lumen at the proximal end of the rectal anastomosis, and the intestinal contents were directly diverted o
Ileostomy group:After rectum resection and anastomosis, the ileum at 25-30cm away from the ileocecal part was proposed for double cavity stomy
Sponsors
Chongqing University Fuling Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: ?. Preoperative colonoscopy and biopsy confirmed primary single rectal cancer without distant metastasis ?. The lower margin of the tumor is less than 10cm from the anal margin, and it is preliminarily estimated that the anus can be preserved before surgery, and there is a need for protective ileal stoma ?. Eastern Cooperative Oncology Group(ECOG)performance status score =2 ?. The subjects voluntarily participated in the clinical study and signed the informed consent for surgery
Exclusion criteria
Exclusion criteria: ?.Serious damage to cardiopulmonary function or other underlying diseases that cannot tolerate surgery ?.Other diseases involving the rectum, such as familial colorectal polyposis, active Crohn's disease or active ulcerative colitis. ?.Complicated with intestinal obstruction requires emergency operation ?.pregnant women ?.Overweight, BMI>35kg/m2 ?.Change the surgical method for various reasons, quit midway, and did not complete the entire treatment process ?.Patients who refused to sign informed consent to participate in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reoperation rate due to anastomotic leakage; | — |
Secondary
| Measure | Time frame |
|---|---|
| Anastomotic leakage;wound infection;abdominal infection;water and electrolyte disturbance;renal function impairment;operation time;Intraoperative blood loss;First postoperative exhaust time;postoperative fasting time;total hospitalization time;total hospitalization cost;Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire CCF-CaQL;European Cancer Research for Treatment Tissue Colorectal Cancer Specific Quality of Life Questionnaire 29 QLQ-CR29; | — |
Countries
China
Contacts
Public Contactchenxuan
Chongqing University Fuling Hospital
Outcome results
None listed