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Elective diverting ileostomy may reduce consequences of anastomotic failure in laparoscopic TME. Aiming to evaluate the effectiveness of elective diverting ileostomy, its impact on the incidence and clinical behavior of anastomotic leakage and the complications related to its presence and take down were analyzed.
From a prospective collected database, data regarding patients who underwent to laparoscopic TME, with (Group 1) or without (Group 2) elective diverting ileostomy for rectal cancer from 2012 to 2017 at University Campus Bio-Medico di Roma, have been retrospectively analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | patients who underwent to laparoscopic TME, with elective diverting ileostomy for rectal cancer |
| |
| Group 2 | patients who underwent to laparoscopic TME, without elective diverting ileostomy for rectal cancer |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| elective diverting ileostomy | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with anastomotic leakage | Leakage was defined on the basis of perianastomotic drain appearance and/or of radiological findings during postoperative X-Ray or abdominal CT scan enema | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with post-operative complications | post-operative complication in patients submitted to Anterior Rectal Resection | 90 days |
| Number of participants with fever Surgical site infection Abdominal collections Anastomotic leakage Anastomotic bleeding Perforation Anastomotic stenosis Number of participants with fever |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent to laparoscopic TME, for rectal cancer from 2012 to 2017 at University Campus Bio-Medico di Roma.
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| ID | Term |
|---|---|
| D057868 | Anastomotic Leak |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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post-operative fever in patients submitted to Anterior Rectal Resection |
| 90 days |
| Number of participants with surgical site infection | post-operative surgical site infection in patients submitted to Anterior Rectal Resection | 90 days |
| Number of participants with abdominal collections | post-operative abdominal collections in patients submitted to Anterior Rectal Resection | 90 days |
| Number of participants with anastomotic bleeding | post-operative anastomotic bleeding in patients submitted to Anterior Rectal Resection | 90 days |
| Number of participants with perforation | post-operative perforation in patients submitted to Anterior Rectal Resection | 90 days |
| Number of participants with anastomotic stenosis | post-operative anastomotic stenosis in patients submitted to Anterior Rectal Resection | 90 days |