Virtual Ileostomy Versus Diverting Ileostomy

Status Recruiting

Clinical Trial Summary

This study aimed at comparing the Comprehensive Complication Index (CCI), readmission rates, postoperative hospitalization days, duration of bearing the stoma (months), hospitalization costs, the number of hospitalizations with ghost ileostomy versus conventional loop ileostomy after low anterior resection for rectal cancer.

Clinical Trial Description

Diverting ileostomy (DI) is a common procedure performed in patients undergoing low anterior resection for rectal cancer to protect the anastomosis and reduce the risk of complications. Although DI remains one of the most common methods used in clinical practice to prevent anastomotic leakage, there is still considerable debate in clinical practice about whether to perform a routine ileostomy. Despite temporary ileostomy fecal diversion can reduce the development of abdominal abscesses, wound inflammation, peritonitis, and sepsis after the occurrence of AL, however, it not only failed to reduce the incidence of AL but significantly increased the risk of non-elective readmissions and reinterventions as well as higher total costs. Meanwhile, stoma significantly increase the risk of stoma-related complication such as small bowel obstruction, postoperative ileus, dehydration from high-output stoma culminating in acute kidney injury, electrolyte imbalance, stoma stenosis/ necrosis, parastomal hernia, peristomal abscess, and fistula, etc. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05985239
Study type	Observational
Source	Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
Contact	fan li
Phone	+86 023 68757958
Email	levinecq@163.com
Status	Recruiting
Phase
Start date	January 1, 2023
Completion date	April 30, 2024

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