Abstract:Objective:To study the value of protective ileostomy in preventing anastomotic leakage following ultralow anterior resection for rectal cancer. Methods :The clinical records of 98 patients with rectal cancer electivly undergoing ultralow anterior resection were retrospectively analyzed. A randomized comparative study between ileostomy group (45 patients) and without ileostomy group (53 patients) was conducted. Results:An anastomotic leakage was diagnosed in 11 patients (20.8%) without protective ileostomy and in only 1 patients (2.2%) with ileostomy. Conclusions:The elective use of a protective ileostomy for ultralow anterior resection can effectively reduce the rate of anastomotic leakage.
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YAN Yu-kuang, Helmut Friess, Jrg Kleeff.The value of protective ileostomy for anastomotic leakage following ultralow anterior resection [J]. Chin J Gen Surg,2007,16(4):7-. DOI:10.7659/j. issn.1005-6947.2007.04.007