Clinical control study of defunctioning and non-defuncioning stoma in low anterior resection for rectal cancer

Abstract

Objective To compare the clinical data and postoperative complications between defunctioning stoma and non-defunctioning stoma in laparoscopic low anterior resection for rectal carcinoma, and study the clinical significance of non-defunctioning stoma. Methods The clinical data of 70 cases who accepted laparoscopic low anterior resection was collected. According to the operative methods, all patients were divided into two groups, defu ctioning stoma group included 42 cases and non-defunctioning stoma group induded 28 cases. The situation of postoper rative complications of patients boh two groups were compared by SPSS 19.0. Results The operation time, bleeding volume, eating time in defunctioning stoma groups and non-defunctioning stoma groups were no statistical significant.The time staying in hospital in defunctioning stoma groups was longer than that of non-defunctioning stoma groups(P<0.05). defunctioning stoma groups, anastomotic leakages happened in 2 case, anastomotic hemorrhage in 1 case, incision complications in 2 cases, anastomotic strictures in 8 cases, stoma complications in 1 case. The total morbidity was 28.5%.In non-defunctioning stoma group anastomotic leakages happened in 1 case, anastomotic hemorrhage happened in 1 case, incision complications happened in 1 case, internal complications happened in 1 case.The postoperative morbidity was 17.8%. The total complications had significant difference in the two groups(P<0.05). The anastomotic leakage and hemorrhage in two groups had no difference significantly. Conclusion Defunctioning stoma with no indication can not decrease the complication in laparoscopic low anterior resection for rectal cancer case. Key words: Rectal neoplasms; Laparoscopes; Ostomy; Postoperative complications; Low anterior resection