Abstract
Objective To investigate the clinical effect of transcecum tube ileostomy in prevention of anastomotic leakage in patients with rectal cancer received neoadjuvant chemoradiotherapy. Methods From Jun 2013 to Dec 2015, 16 patients with locally advanced rectal cancer underwent preoperative chemoradiotherapy in our hospital were retrospectively analyzed. Total mesorectal excision(TME) and transcecum tube ileostomy were performed 5-8 weeks after chemoradiotherapy. Clinical variables including the incidence of anastomotic fistula and postoperative rehabilitation were observed. Results There were two patients, accounting for 12.5%, occurred anastomotic fistula. And the anastomotic fistula healed after somatostatin and conservative treatment. 14 patients, accounting for 87.5%, recovered well with the hospitalization of 10~14 days. Conclusion Transcecum tube ileostomy is an effective and safe method in prevention of anastomotic leakage in pitients with rectal cancer received neoadjuvant chemoradiotherapy. Key words: Rectal Neoplasms; Surgical Procedures, Operative; Chemotherapy, Adjuvant; Radiotherapy, Adjuvant; Anastomotic Leak
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