Does one-stitch method of temporary ileostomy affect the stoma-related complications after laparoscopic low anterior resection in rectal cancer patients?

作者全名："Shu, Xin-Peng; Lv, Quan; Li, Zi-Wei; Liu, Fei; Liu, Xu-Rui; Li, Lian-Shuo; Tong, Yue; Liu, Xiao-Yu; Wang, Chun-Yi; Peng, Dong; Cheng, Yong"

作者地址："[Shu, Xin-Peng; Lv, Quan; Li, Zi-Wei; Liu, Fei; Liu, Xu-Rui; Li, Lian-Shuo; Tong, Yue; Liu, Xiao-Yu; Wang, Chun-Yi; Peng, Dong; Cheng, Yong] Chongqing Med Univ, Affliated Hosp 1, Dept Gastrointestinal Surg, Chongqing 400016, Peoples R China"

通信作者："Cheng, Y (通讯作者)，Chongqing Med Univ, Affliated Hosp 1, Dept Gastrointestinal Surg, Chongqing 400016, Peoples R China."

来源：EUROPEAN JOURNAL OF MEDICAL RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001283380500002

JCR分区：Q2

影响因子：4.2

年份：2024

卷号：29

期号：1

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结束页：　

文献类型：Article

关键词：One-stitch method; Ileostomy; Laparoscopic low anterior resection; Stoma-related complications

摘要："PurposeThis current study attempted to investigate whether one-stitch method (OM) of temporary ileostomy influenced the stoma-related complications after laparoscopic low anterior resection (LLAR). MethodsWe searched for eligible studies in four databases including PubMed, Embase, Cochrane Library, and CNKI from inception to July 20, 2023. Both surgical outcomes and stoma-related complications were compared between the OM group and the traditional method (TM) group. The Newcastle-Ottawa Scale (NOS) was adopted for quality assessment. RevMan 5.4 was conducted for data analyzing. ResultsTotally 590 patients from six studies were enrolled in this study (272 patients in the OM group and 318 patients in the TM group). No significant difference was found in baseline information (P > 0.05). Patients in the OM group had shorter operative time in both the primary LLAR surgery (MD = - 17.73, 95%CI = - 25.65 to - 9.80, P < 0.01) and the stoma reversal surgery (MD = - 18.70, 95%CI = - 22.48 to -14.92, P < 0.01) than patients in the TM group. There was no significant difference in intraoperative blood loss of the primary LLAR surgery (MD = - 2.92, 95%CI = - 7.15 to 1.32, P = 0.18). Moreover, patients in the OM group had fewer stoma-related complications than patients in the TM group (OR = 0.55, 95%CI = 0.38 to 0.79, P < 0.01). ConclusionThe OM group had shorter operation time in both the primary LLAR surgery and the stoma reversal surgery than the TM group. Moreover, the OM group had less stoma-related complications."

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