Loop Ileostomy versus Loop Colostomy for Defunctioning Low Anastomoses during Rectal Cancer Surgery

摘要: Several studies have compared loop ileostomy with colostomy to defunction colorectal anastomoses. The discordant results may be due the heterogeneity of indications. We therefore performed a retrospective study compare two procedures in homogeneous group patients operated on electively for rectal cancer. Among 462 consecutive undergoing resection cancer during 1986–1998, 60 had and 107 low anastomosis. groups were similar respect age, gender, obesity, tumor stage, duration before closure (109 vs. 104 days; p= 0.28). All stoma-related complications that occurred after construction stoma recorded. There no deaths groups. After construction, morbidity rate was significantly higher following than (35% 19%; 0.02). complication (34% 12%; 0.004). risk surgical reintervention related both twice as high (22% 9%; 0.03). this showed that, our experience, overall reoperation lower colostomy. This suggests is best procedure defunctioning anastomoses electively. recommend using surgery.