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. 2024 Aug 2;29(1):403.
doi: 10.1186/s40001-024-01995-1.

Does one-stitch method of temporary ileostomy affect the stoma-related complications after laparoscopic low anterior resection in rectal cancer patients?

Xin-Peng Shu #  1 , Quan Lv #  1 , Zi-Wei Li  1 , Fei Liu  1 , Xu-Rui Liu  1 , Lian-Shuo Li  1 , Yue Tong  1 , Xiao-Yu Liu  1 , Chun-Yi Wang  1 , Dong Peng  1 , Yong Cheng  2
Affiliations

Does one-stitch method of temporary ileostomy affect the stoma-related complications after laparoscopic low anterior resection in rectal cancer patients?

Xin-Peng Shu et al. Eur J Med Res. .

Abstract

Purpose: This current study attempted to investigate whether one-stitch method (OM) of temporary ileostomy influenced the stoma-related complications after laparoscopic low anterior resection (LLAR).

Methods: We searched for eligible studies in four databases including PubMed, Embase, Cochrane Library, and CNKI from inception to July 20, 2023. Both surgical outcomes and stoma-related complications were compared between the OM group and the traditional method (TM) group. The Newcastle-Ottawa Scale (NOS) was adopted for quality assessment. RevMan 5.4 was conducted for data analyzing.

Results: Totally 590 patients from six studies were enrolled in this study (272 patients in the OM group and 318 patients in the TM group). No significant difference was found in baseline information (P > 0.05). Patients in the OM group had shorter operative time in both the primary LLAR surgery (MD = - 17.73, 95%CI = - 25.65 to - 9.80, P < 0.01) and the stoma reversal surgery (MD = - 18.70, 95%CI = - 22.48 to -14.92, P < 0.01) than patients in the TM group. There was no significant difference in intraoperative blood loss of the primary LLAR surgery (MD = - 2.92, 95%CI = - 7.15 to 1.32, P = 0.18). Moreover, patients in the OM group had fewer stoma-related complications than patients in the TM group (OR = 0.55, 95%CI = 0.38 to 0.79, P < 0.01).

Conclusion: The OM group had shorter operation time in both the primary LLAR surgery and the stoma reversal surgery than the TM group. Moreover, the OM group had less stoma-related complications.

Keywords: Ileostomy; Laparoscopic low anterior resection; One-stitch method; Stoma-related complications.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of study selection
Fig. 2
Fig. 2
Forest plot showing the surgical outcomes. a Primary operation time; b second operation time; c blood loss of primary surgery
Fig. 3
Fig. 3
Forest plot showing the stoma-related complications
Fig. 4
Fig. 4
Funnel plot of stoma-related complications
See this image and copyright information in PMC

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