[Open vs. laparoscopic loop ileostomy clousure after colorectal surgery: retrospective analysis].

Area of Science:

• Colorectal Surgery
• Surgical Techniques
• Anastomotic Leak Prevention

Background:

• Protective loop ileostomy is crucial for reducing sepsis risk from distal rectal or anal anastomosis leaks.
• The choice of surgical technique for initial anastomosis (open vs. laparoscopic) may impact subsequent ileostomy closure outcomes.

Purpose of the Study:

• To compare the outcomes of ileostomy closure following initial open surgery versus laparoscopic surgery.
• To determine if laparoscopic approaches offer advantages during protective ileostomy closure.

Main Methods:

• Retrospective comparative analysis of ileostomy closure outcomes.
• Patients were categorized into ileostomy closure post-prior open surgery (ICPOS) and ileostomy closure post-prior laparoscopic surgery (ICPLS).
• Demographic and surgical data were analyzed using Fisher's and Chi-square tests (p < 0.05 significance).

Main Results:

• ICPLS group demonstrated significantly shorter surgical time (79 vs. 133 min) and hospital stay (3 vs. 5 days) compared to ICPOS.
• Lower rates of surgical ileum development (33.3% vs. 66.7%), surgical wound infection (1 vs. 5 patients), and anastomotic dehiscence (0 vs. 4 patients) were observed in the ICPLS group.
• No patients in the ICPLS group required reintervention after ileostomy closure, unlike 6 patients in the ICPOS group.

Conclusions:

• Laparoscopic ileostomy closure (ICPLS) is associated with improved surgical efficiency and reduced complications compared to open surgery (ICPOS).
• The initial laparoscopic approach appears to confer benefits for ileostomy closure, including shorter recovery and fewer adverse events.
• ICPLS offers advantages in terms of surgical time, hospital stay, infection rates, and reintervention necessity.