잠시만 기다려 주세요. 로딩중입니다.

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

Annals of Surgical Treatment and Research 2018년 95권 6호 p.319 ~ 323
 ( Hwang Duk-Yeon ) - Catholic University College of Medicine Incheon St. Mary’s Hospital Department of Surgery

 ( Lee Gyeo-Ra ) - Catholic University College of Medicine Incheon St. Mary’s Hospital Department of Surgery
 ( Kim Ji-Hoon ) - Catholic University College of Medicine Incheon St. Mary’s Hospital Department of Surgery
 ( Lee Yoon-Suk ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery

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.

키워드

Ileostomy; Laparoscopy; Anastomotic leak; Minimally invasive surgical procedures
원문 및 링크아웃 정보
 
등재저널 정보