The Effect Of Terminal Ileum Incision On Prevention Of Anastomotic Fistula In Laparoscopic Low Rectal Cancer

Objective:To investigate the effect of terminal ileum incision on prevention of anastomotic fistula in laparoscopic low rectal cancer.Methods:Retrospective analysis of clinical patients in 2015-2016 which were confirmed requiring anus-preserving surgery and ileostomy for low rectal cancer by the physical examination.The patients were separated to the control group and the experimental group.Uniform standard of perioperative informations were established about chosen patients.Dates in the study wrer managed by the use of statistical method.Results:Of the 78 patients with low rectal surgery who had been screened into the group,39 of them had an incision in the operative fistula,and 39 patients had no incision at the end of the ileum.There was no statistically significant difference in age,sex,body mass index,preoperative nutrition,operation time and intraoperative blood loss between the two groups.There was no significant difference in the remaining operation time,intraoperative blood loss,postoperative exhaust time,intraperitoneal drainage time,hospitalization time and average hospitalization cost,except the permit feeding time was 3.026 ± 0.1446 in non-incision group(P<0.05).There were 5 cases of anastomotic fistula in the incision group and 6 cases of anastomotic fistula in the non-incision group(P>0.05).Conclusion:There is no statistically significant when non-incision terminal ileostomy on prevention of anastomotic fistula in laparoscopic low rectal cancer.But non-incision terminal ileostomy can educe overall hospital stay.At the same time,non-incision group can be reducible during the period of hospital,to avoid secondary hospitalization,indirectly reduce the hospital costs.For low rectal cancer patients,it have a certain clinical value.