Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2024 Jun 28;103(26):e38751.
doi: 10.1097/MD.0000000000038751.

Analysis of risk factors for the sigmoid stoma complications in patients after abdominoperineal resection surgery: An observational study

Quan Lv  1 , Ye Yuan  1 , Zheng Xiang  1   2
Affiliations
Observational Study

Analysis of risk factors for the sigmoid stoma complications in patients after abdominoperineal resection surgery: An observational study

Quan Lv et al. Medicine (Baltimore). .

Abstract

To analyze the risk factors for intraperitoneal sigmoid stoma complications after abdominoperineal resection (APR) surgery to guide clinical practice. Patients who were diagnosed with rectal cancer and underwent APR surgery from June 2013 to June 2021 were retrospectively enrolled. The characteristics of the stoma complication group and the no stoma complication group were compared, and univariate and multivariate logistic analyses were employed to identify risk factors for sigmoid stoma-related complications. A total of 379 patients who were diagnosed with rectal cancer and underwent APR surgery were enrolled in this study. The average age of the patients was 61.7 ± 12.1 years, and 226 (59.6%) patients were males. Patients in the short-term stoma complication group were younger (55.7 vs 62.0, P < .05) and had a more advanced tumor stage (P < .05). However, there was no significant difference between the long-term stoma complication group and the no stoma complication group. Multivariate logistic regression analysis revealed that operation time was an independent risk factor (P < .05, OR = 1.005, 95% CI = 1.000-1.010) for short-term stoma complications. Both the short-term and long-term stoma complication rates in our institution were low. A longer operation time was an independent risk factor for short-term stoma complications after APR surgery.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Flow chart of patient selection.
Figure 2.
Figure 2.
Intraperitoneal sigmoid stoma after APR surgery. APR = abdominoperineal resection.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Sung H, Ferlay J, Siegel RL, et al. . Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71:209–49. - PubMed
    1. Xia C, Dong X, Li H, et al. . Cancer statistics in China and United States, 2022: profiles, trends, and determinants. Chin Med J (Engl). 2022;135:584–90. - PMC - PubMed
    1. Yang Y, Han Z, Li X, et al. . Epidemiology and risk factors of colorectal cancer in China. Chin J Cancer Res. 2020;32:729–41. - PMC - PubMed
    1. Cheng YX, Tao W, Liu XY, et al. . Hypertension remission after colorectal cancer surgery: a single-center retrospective study. Nutr Cancer. 2022;74:2789–95. - PubMed
    1. Peng D, Cheng YX, Cheng Y. Improved overall survival of colorectal cancer under multidisciplinary team: a meta-analysis. Biomed Res Int. 2021;2021:5541613. - PMC - PubMed

Publication types