The Role of Ghost Ileostomy in Laparoscopic Rectal Resection

The Role of Ghost Ileostomy in Laparoscopic Rectal Resection

To evaluate if the Ghost Ileostomy is really advantageous in laparoscopy we conducted a prospective randomized controlled study comparing 2 groups of patients undergoing anterior resection of the rectum laparoscopically. In the first group of patients at the end of the procedure was always performed a Ghost Ileostomy while in the second group no protective stoma was built at the end of the intervention.

Inclusion Criteria:

• Surgical Indication for Laparoscopic Anterior Rectal Resection
• Medium risk of anastomotic leakage

Exclusion Criteria:

• High risk of anastomotic leakage
• Lower risk of anastomotic leakage
• Advanced neoplasia (T4)
• Indication for inter-sphincteric resection hydro-pneumatic test of the anastomosis tightness showed positive for air leak
• Surgical procedure intraoperatively modified from the standard laparoscopic anterior rectal resection