改良与传统预防性回肠造口术的临床效果比较研究OACSTPCD

Objective:To compare the clinical effects of the modified procedure of prophylactic ileostomy in laparoscopic radi-cal resection of rectal cancer with the conventional procedure.Methods:The clinical data of 164 patients who successfully underwent laparoscopic radical rectal cancer surgery+prophylactic ileostomy and second-stage reduction surgery from Jan.2020 to Jan.2022 were collected,and patients were randomly divided into modified group and conventional group with 82 cases in each group.The general data,perioperative indicators and stoma complications of the patients in the two groups were compared.Results:The modified group was lower than the traditional group in the time of reduction surgery,the incidence of parastomal hernia and the incidence of total stoma complications,and the differences were statistically significant(P<0.05).There were no significant differences in general data,opera-tion time of stoma,time to first flatus after stoma operation,time to first liquid diet after stoma operation,blood loss during reduction operation,first postoperative hospital stay and hospital stay after reduction operation between the two groups(P>0.05).Conclusions:In laparoscopic radical rectal cancer surgery,the clinical effect is similar between the modified prophylactic ileostomy and the traditional procedure,but the time of reduction surgery is shorter and the incidence of stoma complications is fewer in the modified procedure,which should be further popularized in clinical practice.