Comparative study between ghost ileostomy and defunctioning ileostomy in terms of morbidity and cost-effectiveness in low anterior resection for rectal cancer.

摘要: Purpose The aim of this study was to compare ghost ileostomy (GI) and defunctioning (DI) in patients who underwent low anterior resection (LAR) for rectal cancer terms postoperative morbidity, rehospitalization rates, total costs. Methods Patients with an anastomosis level between 5 10 cm from the anal verge after LAR were analyzed retrospectively. Clinical characteristics, operative outcomes, costs compared. Results A 123 enrolled as follows: 42 GI group 81 DI group. Anastomotic leakage (AL) identified three GI, all them, easily converted DI. There 96.3% rehospitalized at least one time because surgery-related and/or stoma-related complications or stoma closure. When we did not take into account closure, rates 4.7% 22.2% groups, respectively (P= 0.01). mean calculated by removing additional surgical procedures adding 25,767 USD 41,875 0.0001). Conclusion may be a safe cost-effective method medium risk factors AL. It is possible avoid unnecessary reduce unwanted outcomes due it, such complications, rehospitalizations, increased performing GI.