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http://dx.doi.org/10.4174/astr.2018.95.6.319

Single-incision laparoscopic ileostomy is a safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection  

Hwang, Duk Yeon (Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Lee, Gyeo Ra (Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Kim, Ji Hoon (Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Lee, Yoon Suk (Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
Publication Information
Annals of Surgical Treatment and Research / v.95, no.6, 2018 , pp. 319-323 More about this Journal
Abstract
Purpose: Currently, many operations are performed using the single-incision laparoscopic method. Although there have been recent reports on single-incision laparoscopic ileostomy, none have compared this method to conventional laparoscopic ileostomy. This study aimed to assess the safety and feasibility of single-incision laparoscopic ileostomy for anastomotic leakage following laparoscopic low anterior resections. Methods: From April 2012 to April 2017, 38 patients underwent laparoscopic ileostomy (single-incision; 19 patients referred to as group A, conventional laparoscopy; 19 patients referred to as group B) for anastomotic leakage following laparoscopic low anterior resection. We analyzed surgical and clinical outcomes between the 2 groups. Patients in whom a protective ileostomy was carried out during the initial laparoscopic low anterior resection were excluded from this study. Results: No significant differences were observed between the 2 groups in terms of patient demographics and initial operation details. Incisional surgical site infections occurred less in group A than in group B (2 of 19 vs. 9 of 19, P = 0.029). The median ileostomy operation time, amount of intraoperative bleeding, parastomal hernia ratio, hospital stay duration after ileostomy, postoperative pain score were not significantly different between the 2 groups. Conclusion: Single-incision laparoscopic ileostomy is safe and feasible method of fecal diversion for anastomotic leakage following laparoscopic low anterior resection.
Keywords
Ileostomy; Laparoscopy; Anastomotic leak; Minimally invasive surgical procedures;
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