Impact of a diverting ileostomy in total mesorectal excision with primary anastomosis for rectal cancer.

ABSTRACT:

Background

The role of diverting ileostomy in total mesorectal excision (TME) for rectal cancer with primary anastomosis is debated. The aim of this study is to gain insight in the clinical consequences of a diverting ileostomy, with respect to stoma rate at one year and stoma-related morbidity.

Methods

Patients undergoing TME with primary anastomosis for rectal cancer between 2015 and 2017 in eleven participating hospitals were included. Retrospectively, two groups were compared: patients with or without diverting ileostomy construction during primary surgery. Primary endpoint was stoma rate at one year. Secondary endpoints were severity and rate of anastomotic leakage, overall morbidity rate within thirty days and stoma (reversal) related morbidity.

Results

In 353 o

SUBMITTER: Hol JC 

PROVIDER: S-EPMC10017638 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature