Effect of one-stitch method of temporary ileostomy on the surgical outcomes and complications after laparoscopic low anterior resection in rectal cancer patients: a propensity score matching analysis

Bibliographic Details
Title: Effect of one-stitch method of temporary ileostomy on the surgical outcomes and complications after laparoscopic low anterior resection in rectal cancer patients: a propensity score matching analysis
Authors: Xin-Peng Shu, Jia-Liang Wang, Zi-Wei Li, Fei Liu, Xu-Rui Liu, Lian-Shuo Li, Yue Tong, Xiao-Yu Liu, Chun-Yi Wang, Yong Cheng, Dong Peng
Source: European Journal of Medical Research, Vol 30, Iss 1, Pp 1-8 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Medicine
Subject Terms: Rectal cancer, Laparoscopic low anterior resection, Ileostomy, One-stitch method, Surgical outcome, Medicine
More Details: Abstract Purpose The purpose of this current study was to explore whether one-stitch method (OM) of temporary ileostomy influenced the surgical outcomes after laparoscopic low anterior resection (LLAR). Methods We retrospectively identified rectal cancer (RC) patients who underwent LLAR plus temporary ileostomy in a single teaching hospital from Jan 2011 to June 2023. According to the different methods of ileostomy, the patients were divided into the OM group and the traditional method (TM) group. A propensity score matching (PSM) analysis was performed to eliminate bias and compare the surgical outcomes. Results A total of 469 RC patients were included in this study. There were 57 patients in the OM group and 412 patients in the TM group. After 1:1 PSM, there were 57 patients in each group, and no significant difference was found in baseline information (P > 0.05). In terms of surgical outcomes of primary RC surgery, we found that patients in the OM group had shorter operation time (P 0.05). Conclusion The OM of temporary ileostomy was easier, more effective and time-saving than the TM, which did not increase the incidence of both postoperative complications and stoma-related complications.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2047-783X
Relation: https://doaj.org/toc/2047-783X
DOI: 10.1186/s40001-025-02464-z
Access URL: https://doaj.org/article/6c063883474849499e375c75d0a3500f
Accession Number: edsdoj.6c063883474849499e375c75d0a3500f
Database: Directory of Open Access Journals
More Details
ISSN:2047783X
DOI:10.1186/s40001-025-02464-z
Published in:European Journal of Medical Research
Language:English