Ileostomy; Complications, Ileostomy - Stoma, Leakage, Anastomotic
Conditions
Brief summary
Elective diverting ileostomy may reduce consequences of anastomotic failure in laparoscopic TME. Aiming to evaluate the effectiveness of elective diverting ileostomy, its impact on the incidence and clinical behavior of anastomotic leakage and the complications related to its presence and take down were analyzed.
Detailed description
From a prospective collected database, data regarding patients who underwent to laparoscopic TME, with (Group 1) or without (Group 2) elective diverting ileostomy for rectal cancer from 2012 to 2017 at University Campus Bio-Medico di Roma, have been retrospectively analyzed.
Interventions
PROCEDUREelective diverting ileostomy
Sponsors
Campus Bio-Medico University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
67 Years to 86 Years
Healthy volunteers
No
Inclusion criteria
* adult patients (aged 18 years and over) * patients submitted to elective Anterior Rectal Resection
Exclusion criteria
* chronic use of immunosuppressant agents * urgent surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with anastomotic leakage | 90 days | Leakage was defined on the basis of perianastomotic drain appearance and/or of radiological findings during postoperative X-Ray or abdominal CT scan enema |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with fever Surgical site infection Abdominal collections Anastomotic leakage Anastomotic bleeding Perforation Anastomotic stenosis Number of participants with fever | 90 days | post-operative fever in patients submitted to Anterior Rectal Resection |
| Number of participants with surgical site infection | 90 days | post-operative surgical site infection in patients submitted to Anterior Rectal Resection |
| Number of participants with abdominal collections | 90 days | post-operative abdominal collections in patients submitted to Anterior Rectal Resection |
| Number of participants with post-operative complications | 90 days | post-operative complication in patients submitted to Anterior Rectal Resection |
| Number of participants with perforation | 90 days | post-operative perforation in patients submitted to Anterior Rectal Resection |
| Number of participants with anastomotic stenosis | 90 days | post-operative anastomotic stenosis in patients submitted to Anterior Rectal Resection |
| Number of participants with anastomotic bleeding | 90 days | post-operative anastomotic bleeding in patients submitted to Anterior Rectal Resection |
Outcome results
None listed