Benefits of laparoscopy-assisted ileostomy in colorectal cancer patients with bowel obstruction

Yi-Jie Wang; Kuan-Hsun Lin; Jung-Cheng Kang; Je-Ming Hu; Chao-Yang Chen; Ta-Wei Pu

doi:10.12998/wjcc.v11.i24.5660

Benefits of laparoscopy-assisted ileostomy in colorectal cancer patients with bowel obstruction

World J Clin Cases. 2023 Aug 26;11(24):5660-5665. doi: 10.12998/wjcc.v11.i24.5660.

Authors

Yi-Jie Wang¹, Kuan-Hsun Lin², Jung-Cheng Kang³, Je-Ming Hu⁴, Chao-Yang Chen⁴, Ta-Wei Pu⁵

Affiliations

¹ Department of Surgery, Tri Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
² Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
³ Division of Colon and Rectal Surgery, Department of Surgery, Taiwan Adventist Hospital, Taipei 105, Taiwan.
⁴ Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
⁵ Division of Colon and Rectal Surgery, Department of Surgery, Songshan branch, Tri-Service General Hospital, National Defense Medical Center, Taipei 105, Taiwan. tawei0131@gmail.com.

Abstract

Background: Ileostomies are commonly performed after colon and rectal surgeries. Laparoscopy-assisted ileostomy with adhesion lysis may have potential benefits over conventional open surgery.

Aim: To compare the outcomes of laparoscopy-assisted and conventional ileostomies.

Methods: Data from 48 consecutive patients who underwent ileostomy at our institution between May 2021 and May 2022 were retrospectively analyzed. The groups comprised 26 and 22 patients who underwent laparoscopic ileostomy (laparoscopic group) and conventional ileostomy (conventional group), respectively, performed by a single surgeon. Patient demographics, operative characteristics, postoperative outcomes, and 30-d morbidities and mortality rates were analyzed.

Results: The two groups had comparable mean ages, sex distributions, American Society of Anesthesiologists scores, and body mass indices. However, the laparoscopic group showed similar operative time, better visualization for adhesion lysis, and lower visual analog scale scores than the conventional group.

Conclusion: Laparoscopy-assisted ileostomy is a safe and efficient method that produces lower visual analog scale scores, better intraoperative visualization for effective adhesion lysis, and similar operative time compared with conventional ileostomy.

Keywords: Bowel obstruction; Colorectal cancer; Ileostomy; Laparoscopy; Retrospective study; Tissue adhesion.