The application of defunctioning stomas after low anterior resection of rectal cancer

被引：7

作者：

Yao, Hongwei ^{[1
]}

An, Yongbo ^{[1
]}

Zhang, Zhongtao ^{[1
]}

机构：

[1] Capital Med Univ, Beijing Friendship Hosp, Natl Clin Res Ctr Digest Dis, Dept Gen Surg, 95 Yongan Rd, Beijing 100050, Peoples R China

来源：

SURGERY TODAY | 2019年 / 49卷 / 06期

关键词：

Defunctioning stoma; Low anterior resection; Rectal cancer; Anastomotic leakage; QUALITY-OF-LIFE; RANDOMIZED CLINICAL-TRIAL; SURGICAL SITE INFECTION; SYMPTOMATIC ANASTOMOTIC LEAKAGE; TOTAL MESORECTAL EXCISION; DOUBLE-STAPLING TECHNIQUE; SPHINCTER-SAVING SURGERY; LOOP ILEOSTOMY; DIVERTING STOMA; RISK-FACTORS;

D O I：

10.1007/s00595-018-1736-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Defunctioning stomas are frequently used by colorectal surgeons after unsatisfactory anastomosis. The primary purpose of constructing a defunctioning stoma is to prevent an anastomotic leakage or to alleviate the detrimental consequences of it. However, the construction of defunctioning stomas is not free and is associated with adverse impacts on the patient. Stoma-related complications can develop in different stages and can impair a patient's quality of life. Furthermore, one in every four to six defunctioning stomas turns into a non-closure stoma. Since no definite indications for the creation of a defunctioning stoma are available, surgeons have to carefully weigh their benefits against their adverse effects. Thus, the precise selection of patients who should undergo the creation of a defunctioning stoma is of great importance, and an alternative method for preventing anastomotic leakage is needed.

引用

页码：451 / 459

页数：9

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