지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.1
- 발행연도
- 2019.1
- 수록면
- 41 - 46 (6page)
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초록· 키워드
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Purpose: Transient loop ileostomies in rectal cancer surgery are generally closed after 2 or more months to allow adequate time for anastomotic healing. Maintaining the ileostomy may cause medical, surgical, or psychological complications; it also reduces the quality of life, and increase treatment costs. We performed this study to evaluate the safety and feasibility of early ileostomy closure 2 weeks postoperatively.
Methods: If a patient who underwent total mesorectal excision had 2 or more risk factors for anastomotic leakage, a loop ileostomy was created. After confirmation of intact anastomosis via sigmoidoscopy and proctography 1 week postoperatively, the patient was enrolled and ileostomy was closed 2 weeks postoperatively. The primary endpoint was the frequency of complication after ileostomy repair.
Results: Thirty patients were enrolled in the study and 6 were excluded due to anastomotic leakage. Except for 1 case of wound infection (4.2%), no patient experienced any complication including newly developed leakage after the ileostomy closure. The mean duration to repair was 13.1 days (range, 8–16 days) and mean duration to the start of adjuvant treatment after radical surgery was 5.37 weeks (range, 3.0–8.1 weeks).
Conclusion: Transient loop ileostomy, which is confirmed to be intact endoscopically and radiologically, can be safely closed 2 weeks postoperatively without requiring a significant delay in adjuvant chemotherapy.
Methods: If a patient who underwent total mesorectal excision had 2 or more risk factors for anastomotic leakage, a loop ileostomy was created. After confirmation of intact anastomosis via sigmoidoscopy and proctography 1 week postoperatively, the patient was enrolled and ileostomy was closed 2 weeks postoperatively. The primary endpoint was the frequency of complication after ileostomy repair.
Results: Thirty patients were enrolled in the study and 6 were excluded due to anastomotic leakage. Except for 1 case of wound infection (4.2%), no patient experienced any complication including newly developed leakage after the ileostomy closure. The mean duration to repair was 13.1 days (range, 8–16 days) and mean duration to the start of adjuvant treatment after radical surgery was 5.37 weeks (range, 3.0–8.1 weeks).
Conclusion: Transient loop ileostomy, which is confirmed to be intact endoscopically and radiologically, can be safely closed 2 weeks postoperatively without requiring a significant delay in adjuvant chemotherapy.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
Mealy K / 1992 / Anterior resection without a defunctioning colostomy : questions of safety / Br J Surg 79:305~307
Machado M / 2002 / Defunctioning stoma in low anterior resection with colonic pouch for rectal cancer : a comparison between two hospitals with a different policy / Dis Colon Rectum 45:940~945
Matthiessen P / 2007 / Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer : a randomized multicenter trial / Ann Surg 246:207~214
Huser N / 2008 / Systematic review and meta-analysis of the role of defunctioning stoma in low rectal cancer surgery / Ann Surg 248:52~60
Perez RO / 2006 / Loop ileostomy morbidity : timing of closure matters / Dis Colon Rectum 49:1539~1545
Machado M / 2002 / Defunctioning stoma in low anterior resection with colonic pouch for rectal cancer : a comparison between two hospitals with a different policy / Dis Colon Rectum 45:940~945
Matthiessen P / 2007 / Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer : a randomized multicenter trial / Ann Surg 246:207~214
Huser N / 2008 / Systematic review and meta-analysis of the role of defunctioning stoma in low rectal cancer surgery / Ann Surg 248:52~60
Perez RO / 2006 / Loop ileostomy morbidity : timing of closure matters / Dis Colon Rectum 49:1539~1545
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UCI(KEPA) : I410-ECN-0101-2019-514-000442213