Intestinal stoma in patients with colorectal cancer from the perspective of 20-year period of clinical observation

Abstract

IntroductionIntestinal stoma is a procedure most often performed in patients with colorectal cancer.AimTo identify the percentage of patients with colorectal cancer in which the intestinal stoma was performed.Material and methodsWe retrospectively analysed 443 patients treated during a 20-year period (1994–2013) due to colorectal cancer, in which the intestinal stoma was made during the first surgical intervention.ResultsIn the second analysed decade, a significant decrease in the percentage of created stomas, definitive stomas in particular, was observed. Stomas were made significantly more often in patients with a tumour located in the rectum, the left half of the colon, and in patients undergoing urgent surgeries. An increased incidence of intestinal stomas was associated with a higher severity of illness and higher proportion of unresectable and non-radical procedures. The definitive stomas were significantly more often made in men and in patients with tumours located in the rectum, whereas temporary stomas were created significantly more often in patients undergoing urgent operations.ConclusionsIn the last decade (2004–2013) the number of intestinal stomas in patients operated due to colorectal cancer was significantly reduced.

Challenges and solutions in patient treatment strategies for stage II colon cancer

“…In terms of the socioeconomic impact of such programmes, early detection provides for far more flexible treatment options [78]. Patients are also more likely to have a temporary stoma than a permanent stoma if their colon cancer was diagnosed at an early stage [80]. Earlier diagnosis would therefore allow more patients to maintain/retain a normal lifestyle for longer.…”

Indications and Complications of Stoma Formations in Emergency Surgery

“…In their study, Banaszkiewicz et al analyzed 1710 patients who were operated for colorectal cancer over a 20-year period and they reported that stoma was formed in one third of the patients. Furthermore; in this study, 230 cases have undergone emergency surgery and it has been reported that the patients who have been operated under emergency conditions have had a higher rate of stomata opening than the patients operated under elective conditions [5] .…”

“…The preference of loop ileostomy, colostomy and hartmann procedure may vary according to the indication and surgeon. In emergency surgery, the stoma which is opened for sepsis control may be life-saving [4,5] . The aim of this study was to discuss the ostomy indications, stoma preferences and the early stage results of these operations.…”

Short-term outcomes following purse-string versus conventional closure of ileostomy wounds in Chinese colorectal cancer patients — a single center retrospective study

“…Radical resection is the major therapy for non-metastatic and resectable metastatic CRC patients. However, nearly 15% CRC patients require simultaneous temporarily ileostomy to reduce anastomotic leakage risk [6,7]. In general, rectal cancer patients who underwent neoadjuvant radiotherapy occupy the largest percentage in these patients, as preoperative radiotherapy was reported to increase anastomotic leakage risk [8].…”