Objective：To investigate the causes of complications of abdominal stoma after surgery on patients with rectal cancer, and to explore the measures of prevention and treatment.
Methods：The clinical data of 299 patients with rectal cancer who underwent abdominal ostomy were reviewed retrospectively.
Results：The overall incidence of stoma-associated complications was 33.1% (99/299). Peri-stomal dermatitis occurred in 91cases (30.4%), 8 cases (2.7%) suffered from stomal stenosis, 3 cases (1.0%) had with stomal obstruction, 17 cases (5.7%) had stomal prolapase and 2 cases (0.6%) had stomal necrosis. The incidence of peri-stomal dermatitis and stomal prolapase was much higher in patients with loop stoma than those with end stoma. In patients with end stoma, the occurrences of stomal obstruction and para-stomal hernia were less observed in those with extraperitoneal colostomy than those with transperitoneal colostomy.
Conclusions：Timely management of stoma related factors and reasonable choice of ostomy method could effectively reduce the occurrence of stomal complications.