Colon and Rectal SurgeryRisk factors for permanent stoma after rectal cancer surgery with temporary ileostomy
Section snippets
Patients and methods
Patients who underwent rectal cancer surgery with temporary ileostomy with curative intent at National Cancer Center, Korea, between January 2001 and December 2008 were reviewed retrospectively. The inclusion criteria were (1) histologically proven rectal adenocarcinoma situated ≤15 cm from the anal verge, (2) no previous or concurrent malignancy, and (3) no evidence of distant metastasis at the time of operation. Patients with histologic findings other than adenocarcinoma, familial adenomatous
Results
A total of 2,014 patients underwent rectal cancer surgery during the study period. Based on the inclusion and exclusion criteria, 673 patients were identified and analyzed in the present study as having a “temporary ileostomy.” The median follow-up period was 53 months (range, 12–120). During the follow-up period, 64 of the 673 patients (9.5%) developed a PS, including 23 patients with primary PS and 41 patients who underwent secondary PS after recreation of another stoma (ileostomy or
Discussion
Several studies and metaanalyses have demonstrated the benefits of defunctioning stoma for decreasing the risks and morbidity of anastomotic leakage and reoperation and recommended the creation of stoma after sphincter-preserving very low anterior resection for rectal cancer.3, 4, 5, 6, 12 The overall leakage rate of 3.9% (26/673) obtained in the present study was within the previously reported leakage rate range of 3–21%. This favorable result is likely a consequence of the creation of a
References (22)
- et al.
Permanent diversion rates after neoadjuvant therapy and coloanal anastomosis for rectal cancer
Am J Surg
(2009) - et al.
Omission of temporary diversion in restorative proctocolectomy–is it safe?
Dis Colon Rectum
(1993) - et al.
Risk factors for anastomotic leakage after anterior resection of the rectum
Colorectal Dis
(2004) - et al.
Comparison of outcomes following ileostomy versus colostomy for defunctioning colorectal anastomoses
World J Surg
(2007) - et al.
Diverting stoma after low anterior resection: more arguments in favor
Dis Colon Rectum
(2009) - et al.
Definitive risk factors for anastomotic leaks in elective open colorectal resection
Arch Surg
(2008) - et al.
Risk factors for anastomotic leakage after rectal cancer resection and reconstruction with colorectostomy. A retrospective study with bootstrap analysis
Ann Surg Oncol
(2011) - et al.
Risk factors for permanent stoma after low anterior resection for rectal cancer
Langenbecks Arch Surg
(2013) - et al.
Cumulative incidence of permanent stoma after sphincter preserving low anterior resection of mid and low rectal cancer
Dis Colon Rectum
(2013) - et al.
Anastomotic leak after restorative proctosigmoidectomy for cancer: what are the chances of a permanent ostomy?
Int J Colorectal Dis
(2012)
What is the risk for a permanent stoma after low anterior resection of the rectum for cancer? A six-year follow-up of a multicenter trial
Dis Colon Rectum
Cited by (0)
Financial Disclosure: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.
Sources of financial support: NCC1510160-1.