| Autor: |
Bonna, Khaled, Kotb, Sherif, Elmetwalley, Mohamed, Shetiwy, Mosab, Elalfy, Amr F., Hendawy, Shimaa R., Setit, Ahmed |
| Předmět: |
|
| Zdroj: |
Surgical Chronicles; Apr-Jun2024, Vol. 29 Issue 2, p190-199, 10p |
| Abstrakt: |
Background: A protective ileostomy performed in patients with risky colorectal anastomosis is considered a good practice to prevent anastomotic leakage. A derivative ostomy seems to be able to minimize the clinical consequences of an anastomotic leakage, but not to prevent it. This study examined whether ghost ileostomy is a safe alternative to the current reference standard of conventional loop ileostomy in patients with risky colorectal anastomosis. Patients and methods: This study included 60 patients admitted to Oncology Center Mansoura University, Egypt that had undergone colorectal surgery. A total of 34 patients underwent ghost ileostomy (GH) and 26 patients underwent ileostomy (IL). Patient and tumor characteristics were compared as well as operative outcomes between the two examined groups, including the incidence of PO leak rates. Results: The ghost ileostomy group exhibited advantages over the conventional ileostomy group. Operative time was shorter in the ghost ileostomy group (30.8% of conventional ileostomy patients undergoing surgery lasting 2-3 hours, compared to 55.9% in the ghost ileostomy group). The risk of anastomotic leakage was higher in the conventional ileostomy group (p= 0.08). Moreover, the ghost ileostomy group had a lower incidence of postoperative complications. Readmission rates were significantly higher in the conventional ileostomy group (61.5% vs 14.7%, respectively p < 0.001), and the median duration of hospital stay was shorter in the ghost ileostomy group (7.7 days vs 13.3 days). Conclusion:ghost ileostomy may have advantages over the conventional ileostomy in terms of lower risk of anastomotic leakage, shorter hospital stay, and lower incidence of readmission. Moreover, ghost ileostomy proved to be as safe as ileostomy in terms of outcome, morbidity and mortality. However, further research is needed to confirm these findings and evaluate the long-term outcomes of ghost ileostomy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
