Postoperative ileus
Conditions
Interventions
Conventional open ileostomy reversal group:Conventional open ileostomy reversal
Laparoscopic-assisted ileostomy reversal group:Laparoscopic-assisted ileostomy reversal
Sponsors
Huai He Hospital of Henan University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Age 18-75 years, both genders; 2. Previous temporary ileostomy for benign or malignant colorectal disease, now scheduled for reversal; 3. Stoma duration >=3 months with normal stoma function; 4. Preoperative imaging (CT/MRI) showing no tumor recurrence/metastasis; 5. Preoperative colonoscopy or contrast study confirming distal bowel patency; 6. ASA grade I-III; 7. Voluntary participation with signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Emergency surgery or acute abdomen such as intestinal obstruction or peritonitis; 2. Previous major abdominal surgery other than colorectal procedure, with expected extensive adhesions; 3. Distal bowel stenosis, ischemia, or anastomotic leak; 4. Severe cardiopulmonary insufficiency unable to tolerate pneumoperitoneum; 5. Hepatic or renal failure (Child-Pugh C or requiring dialysis); 6. Coagulation disorders or long-term anticoagulation therapy; 7. Pregnant or lactating women; 8. Mental illness or cognitive impairment; 9. Extensive peritoneal metastasis or locally advanced tumor; 10. Obesity (BMI>=35 kg/m^²); 11. Intraoperative conversion to open surgery due to extensive adhesions (laparoscopic group).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative ileus within 30 days; | — |
Secondary
| Measure | Time frame |
|---|---|
| 30-day readmission rate;Overall postoperative complication rate within 30 days;Length of postoperative hospital stay;Quality of life score;Intraoperative blood loss;Reoperation rate;Time to first flatus and defecation;Total operative time; | — |
Countries
China
Contacts
Public ContactLi Xingwang
Huai He Hospital of Henan University
Outcome results
None listed