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Comparison of Autologous Flap-Supported vs. Stent-Supported Preventive Ileostomy in Laparoscopic Radical Resection of Low Rectal Cancer

  • 0Department of Surgery, Fuyang Women's and Children's Hospital, 236000 Fuyang, Anhui, China.
Annali Italiani Di Chirurgia +

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February 17, 2025

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February 17, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Autologous flaps for preventive ileostomy in low rectal cancer surgery significantly reduce complications and fistula rates compared to stents. This method enhances patient recovery and surgical safety.

Area Of Science

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Rectal Cancer Treatment

Background

  • Low rectal cancer necessitates surgical intervention, often involving radical resection.
  • Preventive ileostomy is a common surgical strategy to manage risks associated with low rectal cancer surgery.
  • The choice of support for preventive ileostomy, such as autologous flaps versus stents, can impact patient outcomes.

Purpose Of The Study

  • To compare the clinical efficacy of autologous flap-supported versus stent-supported preventive ileostomy.
  • To evaluate surgical outcomes, perioperative indicators, and postoperative complications in patients undergoing laparoscopic radical resection for low rectal cancer.

Main Methods

  • A comparative study involving 64 patients with low rectal cancer undergoing laparoscopic radical resection.
  • Patients were divided into two groups: stent support (control, n=30) and autologous flap support (n=34).
  • Surgical outcomes, inflammatory markers (CRP, IL-6, PCT, ESR, PA), complication rates, and fistula incidence were analyzed over a six-month follow-up period.

Main Results

  • The autologous flap group showed significantly lower operative time, blood loss, and hospitalization costs.
  • Postoperative inflammatory markers were significantly lower, and prealbumin levels were higher in the flap group compared to the stent group.
  • The complication rate was significantly lower (2.94% vs. 20.00%) and permanent fistula incidence was zero in the flap group versus 13.33% in the stent group.

Conclusions

  • Autologous flap-supported preventive ileostomy is a superior method in laparoscopic radical resection for low rectal cancer.
  • This technique simplifies the procedure, reduces postoperative complications, and improves patient safety and recovery.
  • The findings support the use of autologous flaps to enhance outcomes in this patient population.