A diversion stoma after anterior resection for rectal cancer

Abstract

The article covers the problem of forming diverting stoma during resections of the rectum with primary anastomosis. The incidence of rectal cancer tends to increase, and surgical resection remains the main method of treatment. Anastomotic leakage significantly increases postoperative mortality. The most effective way to prevent severe complications is the formation of a diverting stoma. However, the indications, the choice of a specific technique and the timing of stoma elimination are not clearly defined. The article provides information about the state of the problem, special attention is paid to the choice of the level of stoma formation (ileostomy or transversostomy).

Complications Rate and Related Factors After Laparoscopic Sphincter-Preserving Total Mesorectal Excision for Low Rectal Cancer: A Single-Center Study in Vietnam

“…The literature indicates that the rate of ileostomy after rectal resection ranges from 14% to 100% [ 10 ]. Furthermore, these patients must also undergo surgery to close the ileostomy, which carries many risks [ 22 , 25 - 27 ]. The research by Brisinda et al showed that ileostomy did not necessarily help reduce the anastomotic leak rate [ 19 ].…”