Patients undergoing laparoscopic radical resection of the rectum who require prophylactic ileostomy are evaluated for the advantages and disadvantages of the modified "one-stitch" ostomy method versus the traditional ostomy method.
Conditions
Interventions
Observation group (modified "one-needle method". Using the modified "one-stitch" stoma method):None
Control group (traditional loop stoma. The modified "one-stitch" stoma technique is not selected.):None
Sponsors
The First Affiliated Hospital of the Baotou Medical College of Inner Mongolia University of Science and Technology
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Disease diagnosis: Confirmed as rectal cancer by pathology examination and underwent laparoscopic radical resection for rectal cancer. 2.Surgical approach: Prophylactic double-barrel ileostomy was performed simultaneously during the surgery, and the ileostomy closure was carried out by the same group of surgeons at the same hospital within 6 months postoperatively. 3.Ostomy method: Based on the study grouping, clearly adopt one of the following two methods: Modified group: Using the "modified one-stitch method" Control group: Using the "traditional ostomy method"; 4.Clinical Complete clinicopathological data, with a postoperative follow-up period of at least 6 months. Follow-up should be completed by at least June 2025.
Exclusion criteria
Exclusion criteria: 1.Emergency surgery: for those who undergo emergency surgery due to intestinal obstruction, perforation, etc. 2.Multivisceral resection: During the operation, simultaneous resection of other organs such as the liver, spleen, and urinary bladder is performed. 3.Distant metastasis: Patients who undergo palliative resection only when distant metastasis (Stage IV) is found preoperatively or intraoperatively. 4.Severe underlying diseases: those who have been using glucocorticoids or immunosuppressive agents for a long time. Those with combined diabetes mellitus and extremely poor blood sugar control (fasting blood glucose > 11.0 mmol/L). Those with combined severe hypoproteinemia (albumin < 30 g/L) or severe anemia (hemoglobin < 70 g/L) that has not been corrected. 5.Previous abdominal surgical history: There is a history of lower abdominal surgery that has caused severe abdominal cavity adhesion, affecting the stoma operator. 6.Patients with pre-existing chronic inflammatory bowel diseases (such as Crohn's disease, ulcerative colitis) or severe skin conditions. 7. Loss to follow-up: Patients who were lost to follow-up within 6 months postoperatively and whose information on stoma complications could not be obtained.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| General information, surgical data, and postoperative data of the patients.;Stoma-related complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of first surgery; | — |
Countries
China
Contacts
Public ContactLi Jin
The First Affiliated Hospital of the Baotou Medical College of Inner Mongolia University of Science and Technology
Outcome results
None listed