ArticleThe Journal of international medical research2020
Protective ileostomy does not prevent anastomotic leakage after anterior resection of rectal cancer.
Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Vacuum-assisted self-expanding stents in colorectal surgery: early experiences with a novel tool.Surgical endoscopy · 2025Article
- Long-term efficacy and short-term outcomes of intersphincteric resectionWorld journal of gastroenterology · 2025Article
- Short-term outcomes of low anterior resection with and without ileostomy for low, mid and upper rectal cancers.Updates in surgery · 2025Article
- The Effect of Albumin/Glutaraldehyde Glue (Bioglue) on Colonic Anastomosis Under Intestinal Obstruction: An Experimental Study in Rats.Journal of clinical medicine · 2025Article
- Article
- A novel circumferential continuous reinforcing suture for anastomosis after laparoscopic resection for rectal cancer and sigmoid cancer: a retrospective case-controlled study.Langenbeck's archives of surgery · 2024Article
- Low Anterior Resection Syndrome (LARS) after Surgery for Rectal Cancer: An Inevitable Price to Pay for Survival, or a Preventable Complication?Journal of clinical medicine · 2023Article
- Fluorescent ICG angiography in laparoscopic rectal resection - a randomized controlled trial. Preliminary report.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Early stoma closure after low anterior resection is not recommended due to postoperative complications and asymptomatic anastomotic leakage.Scientific reports · 2023Article
- Severe complications from anastomotic leakage after total mesorectal excision with the protective loop ileostomy in three patients.International journal of surgery case reports · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore whether protective ileostomy is beneficial in preventing anastomotic leakage after anterior resection of rectal cancer.
methodsA total of 347 patients underwent anterior resection of rectal cancer in our hospital. Ninety-five patients were treated with protective ileostomy (treatment group), and 252 patients were not (control group). The incidences of anastomotic leakage and permanent stoma were compared between the two groups.
resultsThe overall incidences of anastomotic leakage were 6.32% (6/95) and 8.73% (22/252) in the treatment group and control group, respectively. In the cohort of patients who underwent neoadjuvant radiotherapy, the incidence of anastomotic leakage was 5.88% (2/34) and 12.0% (3/25) in the treatment group and control group, respectively. Logistic regression showed that the incidence of anastomotic leakage was not statistically significant. However, diabetes and the anastomotic height significantly affected the occurrence of anastomotic leakage. The permanent stoma rate was 6.42% (6/95) and 5.95% (15/252) in the treatment group and control group, respectively.
conclusionProtective ileostomy did not show a significant advantage in reducing the incidence of postoperative anastomotic leakage in patients with rectal cancer, and it may lead to a permanent stoma.
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