Multivariate Analysis Of Temporary Stoma Delayed Loop Ileostomy After Rectal Cancer Surgery

Objective :To analyze the causes of delayed resection of small intestine after rectal cancer and the short-term prognosis of tumor by comparing the patients with delay of rectal restitution and normal patients ‘ general physical condition,Incidence of postoperative complications after rectopectomy and rectal restitution,DFS,local recurrence rate of tumor.Methods: From January 2013 to June 2017,a retrospective study was conducted on the clinical data of 203 patients with colorectal neoplasms treated by surgery in Shengjing Hospital affiliated to China Medical University.The postoperative follow-up was more than 1 year.8 patients who had not been treated with return surgery and 7 patients who had lost their visits were excluded,and 114 patients underwent radical surgery and temporary enterostomy for rectal cancer.were included The patients were divided into normal group(67 cases)and delayed group(47 cases)according to the time of resuscitation.All the patients underwent abdominal CT,electron colonoscopy,tumor markers and blood routine examination before operation to confirm that the tumor had no recurrence and metastasis,no abdominal infection,no anastomotic stricture or anastomotic bleeding,and no anastomotic stenosis or bleeding by electronic colonoscopy and rectal digital examination.The surgical incision was selected to enter through the site of the incision or the median incision of the abdomen,and the anastomosis mode was the side anastomosis of the cutting closure device or the anastomotic end to the end of the stapler.Patients were given anti-infection,nutritional support,albumin supplementation,incision dressing,abdominal bandage bandage and so on.All patients in normal group received return surgery in 4 months after operation.(Including 4 months),the patients in the delayed group received surgery more than 4 months after operation,and the clinical characteristics of the patients were observed and compared.Results: In the normal group,the ratio of hypertension to non-hypertension was 11:56,in the delayed group,the ratio of hypertension to non-hypertension was 16: 31,and the overall ratio of hypertension to non-hypertension was 27: 87.Patients in the delayed group who had hypertension were significantly more than those in the normal group.The difference was statistically significant.However,there was no significant difference in age,sex,BMI,diabetes mellitus or heart disease prevalence between the normal group and the delayed group.There was no significant difference in complications,local recurrence rate and DFS between the normal group and the delayed group.(all P > O.05).Conclusion: Patients receiving temporary small bowel anastomosis after rectal cancer if combined with hypertension,adjuvant therapy,or first postoperative complications can severely delay reimbursement time However,there was no significant effect on the incidence and prognosis of postoperative complications.