Ghost ileostomy after anterior resection for rectal cancer: a preliminary experience

Abstract

GI is feasible, characterized by shorter recovery, lesser degree of total, as well as anastomosis-related morbidity and higher quality of life of patients and the caregivers in respect to CS. We suggest that GI (should be evaluated as an alternative to conventional ileostomy) could be indicated in selected patients that do not present risk factors, but require caution for anastomotic leakage for the low level of colorectal anastomosis.

Does ghost ileostomy have a role in the laparoscopic rectal surgery era? A randomized controlled trial

“…The use of GI allows for the avoidance of stoma creation in all patients, thus reducing the number of stomas performed and, as reported by Gullà et al, improving the quality of life of these patients [27].…”

“…As previously reported, GI is a pre-stage ileostomy, its opening is usually easy and rapid to create, and it can minimize fecal peritonitis in cases of leakage [26][27][28][29][30].…”

“…Calculations were derived from the results of the studies of Gullà, Mori, Cerroni, and Sacchi et al [26][27][28][29].…”

“…Some authors have already suggested the advantage of performing GI in terms of reduced numbers of stomas created and, consequently, decreased numbers of stomarelated complications [26][27][28][29][30]. In these studies, however, rectal resection was almost always performed as open surgery, and this surgical approach tends to minimize the benefits of GI to only the reduction in the number of stomas performed.…”

“…Ghost ileostomy (GI) is just a pre-stage ileostomy that at any time can be externalized and opened. This technique, previously described for open surgery, might be even more advantageous in laparoscopy because it does not jeopardize the important benefits that are typical of minimally invasive surgery [26][27][28][29][30].…”