Laparoscopic Colorectal Surgery, proposed stoma site use as specimen extraction- our initial experience

Dhamija, Neeraj; Kumar, Manish; Muley, Kiran B.; Agarwal, Brij B.

doi:10.1016/j.cmrp.2017.03.008

Cited by 1 publication

(1 citation statement)

References 30 publications

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“…Many problems that cannot be solved by conventional laparotomy, such as anus-preserving surgery for rectal cancer with anal distance less than 5cm, can be solved by laparoscopic technique, which significantly improves the life quality of patients [ 23 , 24 ]. Laparoscopic surgery has many advantages, such as a clear vision of operation, small incision, mild postoperative pain, and short hospital stay [ 25 – 27 ]. Especially, to pursue better treatment benefits, many laparoscopic surgery regimens have been improved, such as 3D laparoscopy, robotic surgery, single-incision laparoscopic surgery, two-port laparoscopic anterior resection, and LAR with natural orifice specimen extraction (NOSE-LAR) [ 28 – 32 ].…”

Section: Discussionmentioning

confidence: 99%

The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

Zhao

et al. 2021

World J Surg Onc

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Background Protective ileostomy is always applied to avoid clinically significant anastomotic leakage and other postoperative complications for patients receiving laparoscopic rectal cancer surgery. However, whether it is necessary to perform the ileostomy is still controversial. This meta-analysis aims to analyze the efficacy of ileostomy on laparoscopic rectal cancer surgery. Methods Cochrane Library, EMBASE, Web of Science, and PubMed were applied for systematic search of all relevant literature, updated to May 07, 2021. Studies compared patients with and without ileostomy for laparoscopic rectal cancer surgery. We applied Review Manager software to perform this meta-analysis. The quality of the non-randomized controlled trials was assessed using the Newcastle-Ottawa scale (NOS), and the randomized studies were assessed using the Jadad scale. Results We collected a total of 1203 references, and seven studies were included using the research methods. The clinically significant anastomotic leakage rate was significantly lower in ileostomy group (27/567, 4.76%) than that in non-ileostomy group (54/525, 10.29%) (RR = 0.47, 95% CI 0.30–0.73, P for overall effect = 0.0009, P for heterogeneity = 0.18, I2 = 32%). However, the postoperative hospital stay, reoperation, wound infection, and operation time showed no significant difference between the ileostomy and non-ileostomy groups. Conclusion The results demonstrated that protective ileostomy could decrease the clinically significant anastomotic leakage rate for patients undergoing laparoscopic rectal cancer surgery. However, ileostomy has no effect on postoperative hospital stay, reoperation, wound infection, and operation time. The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis.

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Section: Discussionmentioning

confidence: 99%

The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

Zhao

et al. 2021

World J Surg Onc

View full text Add to dashboard Cite

show abstract

Laparoscopic Colorectal Surgery, proposed stoma site use as specimen extraction- our initial experience

Cited by 1 publication

References 30 publications

The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

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