Psychological and Enterostomal Therapy Care

Impact of Psychological and Enterostomal Therapy Care for Patient Undergoing Rectal Cancer Resection With a Temporary Stoma. Monocentric Randomized Study

In case of rectal cancer surgery, temporary stoma is recommended to decrease the risk of postoperative anastomotic leakage. The aim of the study was to assess the benefit of an optimal care, i.e., both psychological and enterostomal therapy care.

The aim of the study is to asses the benefit of an optimal and specific care concerning the temporary stoma in patients operated for rectal cancer surgery in term of psychological and enterostomal therapy effect.

This study is a monocentric and randomized trial.

Inclusion Criteria:

• Age > 18 y
• Rectal adenocarcinoma (tumor height < 15 cm from the anal verge) with or without pre operative radiochemotherapy.
• Open or laparoscopic rectal excision with partial or total meso rectal excision with sphincter preservation by colo rectal or colo anal anastomosis.
• Temporary stoma.
• Patient consent
• Patient with national health affiliation

Exclusion Criteria:

• Stage IV disease with synchronous hepatic or pulmonary metastases
• Colonic cancer > 16 cm
• Associated surgical procedure (Hepatic resection, small bowel resection subtotal colectomy)
• Abdominal perineal resection
• Associated comorbidity
• Emergency surgery
• Psychological care refusal