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Ghost ileostomy after anterior resection for rectal cancer: a preliminary experience
Langenbeck's Archives of Surgery, 04/27/2011
Gulla N et al. – Ghost ileostomy (GI) is feasible, characterized by shorter recovery, lesser degree of total, as well as anastomosis–related morbidity and higher quality of life of patients and the caregivers in respect to covering stoma. The authors suggest that GI (should be evaluated as an alternative to conventional ileostomy) could be indicated in selected patients that do not present risk factors, but require caution for anastomotic leakage for the low level of colorectal anastomosis.
Methods- Prospective study
- Patients who had rectal cancer treated with laparotomic anterior resection and confectioning a stoma (GI or covering stoma [CS]) were included .
- Short-term and long-term surgery-related mortality and morbidity after primary surgery (including that stoma-related and colorectal anastomosis-related) and consequent to the intervention of intestinal recanalization (CS group) and GI closure were evaluated.
- Hospital stay and quality of life of patients and their caregivers were evaluated.
- Stoma-related morbidity rate was higher in the CS group than in GI group (37% vs. 5.5%, respectively, P=0.04).
- Morbidity rate after intestinal recanalization in the CS group was 25.9% and 0% after GI closure (P=0.08).
- Stoma morbidity rate was significantly lower in the GI group with respect to CS group (5.5% vs. 40.7%, respectively, P=0.03).
- CS group was characterized by a significantly longer recovery time (P=0.0002).
- Caregivers and stoma-related quality of life were better in the GI group than in CS group (P<0.0001 and P=0.0005, respectively).
