Defunctioning ileostomy reduces leakage rate in rectal cancer surgery - systematic review and meta-analysis.

ABSTRACT:

Objectives

The role of a defunctioning ileostomy in every anterior rectal resection with total mesorectal excision (TME) is still controversial. In this study, we aimed to review the current literature to determine the impact of ileostomy creation on postoperative outcomes in patients undergoing anterior rectal resection with TME.

Methods

MEDLINE, Embase and Cochrane Library were searched for eligible studies. We analyzed data up to October 2017. Eligible studies had to compare patients with vs. without a defunctioning ileostomy in rectal cancer surgery and comprise data on anastomotic leakage in both groups. The primary outcome was anastomotic leakage. Secondary outcomes included the complication rate, mortality, reoperation rate, length of hospital stay and 30-day readmiss

SUBMITTER: Pisarska M 

PROVIDER: S-EPMC5945534 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature