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
. 2025 Mar 22;30(1):197.
doi: 10.1186/s40001-025-02464-z.

Effect of one-stitch method of temporary ileostomy on the surgical outcomes and complications after laparoscopic low anterior resection in rectal cancer patients: a propensity score matching analysis

Xin-Peng Shu #  1 , Jia-Liang Wang #  2 , 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 , Yong Cheng  1 , Dong Peng  3
Affiliations

Effect of one-stitch method of temporary ileostomy on the surgical outcomes and complications after laparoscopic low anterior resection in rectal cancer patients: a propensity score matching analysis

Xin-Peng Shu et al. Eur J Med Res. .

Abstract

Purpose: The purpose of this current study was to explore whether one-stitch method (OM) of temporary ileostomy influenced the surgical outcomes after laparoscopic low anterior resection (LLAR).

Methods: We retrospectively identified rectal cancer (RC) patients who underwent LLAR plus temporary ileostomy in a single teaching hospital from Jan 2011 to June 2023. According to the different methods of ileostomy, the patients were divided into the OM group and the traditional method (TM) group. A propensity score matching (PSM) analysis was performed to eliminate bias and compare the surgical outcomes.

Results: A total of 469 RC patients were included in this study. There were 57 patients in the OM group and 412 patients in the TM group. After 1:1 PSM, there were 57 patients in each group, and no significant difference was found in baseline information (P > 0.05). In terms of surgical outcomes of primary RC surgery, we found that patients in the OM group had shorter operation time (P < 0.01), less blood loss (P < 0.01), and shorter postoperative hospital stay (P < 0.01) than in the TM group after PSM. Moreover, there was no significant difference in both overall complications and stoma-related complications. As for the outcomes of stoma reversal surgery, patients in the OM group had shorter postoperative hospital stay (P = 0.002) than in the TM group before PSM. However, no significant difference was found after PSM (P > 0.05).

Conclusion: The OM of temporary ileostomy was easier, more effective and time-saving than the TM, which did not increase the incidence of both postoperative complications and stoma-related complications.

Keywords: Ileostomy; Laparoscopic low anterior resection; One-stitch method; Rectal cancer; Surgical outcome.

PubMed Disclaimer

Conflict of interest statement

Declarations. Ethics approval and consent to participate: Ethic approval was obtained from our committee, the First Affiliated Hospital of Chongqing Medical University (2021-519), and the informed consent forms were acquired from all participants. Consent for publication: All patients signed the informed consent to participate in this study. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of patient selection
Fig. 2
Fig. 2
Surgical procedure of one-stitch method of ileostomy
Fig. 3
Fig. 3
Schematic picture of one-stitch method of ileostomy
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(3):209–49. - PubMed
    1. Liu XY, Li ZW, Kang B, et al. Does preoperative waiting time affect the short-term outcomes and prognosis of colorectal cancer patients? A retrospective study from the West of China. Can J Gastroenterol Hepatol. 2022;2022:8235736. - PMC - PubMed
    1. Liu XY, Zhang B, Kang B, et al. The effect of complications on oncological outcomes of colorectal cancer patients after primary surgery: a propensity score matching analysis. Front Oncol. 2022;12: 857062. - PMC - PubMed
    1. Liu XY, Kang B, Cheng YX, et al. Higher body mass index was associated with better prognosis in diabetic patients with stage II colorectal cancer. BMC Cancer. 2022;22(1):596. - PMC - PubMed
    1. Baik SH, Gincherman M, Mutch MG, Birnbaum EH, Fleshman JW. Laparoscopic vs open resection for patients with rectal cancer: comparison of perioperative outcomes and long-term survival. Dis Colon Rectum. 2011;54(1):6–14. - PubMed