Clinical application of self-closing ileostomy in anus-preserving surgery for low rectal cancer

Abstract

Background: Anus-sparing surgery for low rectal cancer is becoming more and more common in clinical practice. Ileostomy is a common auxiliary technology for rectal cancer surgery. However, traditional ileostomy is traumatic. After the intestinal function is restored, the stoma needs to be closed again. And the cost is high, so research on the new self-closing ileostomy is of great significance. Aim: To observe the clinical effects of self-closing ileostomy in anus-preserving surgery for low rectal cancer. Methods: A total of 120 patients who underwent anus-preserving surgery for low rectal cancer at our hospital were selected from July 2016 to July 2018. The patients were divided into either a control group or an observation group using a random number: table. The control group underwent conventional protective ileostomy during the operation, and the observation group underwent self-closing ileostomy. Surgical indicators, complications, and quality of life were compared between the two groups. Results: Compared with the control group, the observation group had shorter duration of colostomy (26.59 d ± 3.81 d) and length of hospitalization (12.01 d ± 3.56 d), and fewer times of pocket replacement (1.09 times/wk ± 0.30 times/wk) (P < 0.05). The rate of complications in the observation group (6.67%) was significantly lower than that in the control group (P < 0.05). The scores of physical function (92.41 points ± 10.21 points), physical role physical (76.82 points ± 14.15 points), and bodily pain (90.11 points ± 10.63 points) in the observation group after operation were significantly better than those of the control group (P < 0.05). Conclusion: The application of self-closing ileostomy in anuspreserving surgery for low rectal cancer can protect the anastomotic site, reduce stoma complications, shorten the duration of ileostomy, and reduce the number of pocket changes.