The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

Abstract Background Protective ileostomy is always applied to avoid clinically significant anastomotic leakage and other postoperative complications for patients receiving laparoscopic rectal cancer surgery. However, whether it is necessary to perform the ileostomy is still controversial. This meta-...

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Autores principales:	Yu Mu, Linxian Zhao, Hongyu He, Huimin Zhao, Jiannan Li
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Clinically significant anastomotic leakage Ileostomy Laparoscopy Rectal cancer Surgery RD1-811 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/7f932dd1d9b8458097c2c8b27f0554f6
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spelling	oai:doaj.org-article:7f932dd1d9b8458097c2c8b27f0554f62021-11-08T11:05:17ZThe efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis10.1186/s12957-021-02432-x1477-7819https://doaj.org/article/7f932dd1d9b8458097c2c8b27f0554f62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12957-021-02432-xhttps://doaj.org/toc/1477-7819Abstract Background Protective ileostomy is always applied to avoid clinically significant anastomotic leakage and other postoperative complications for patients receiving laparoscopic rectal cancer surgery. However, whether it is necessary to perform the ileostomy is still controversial. This meta-analysis aims to analyze the efficacy of ileostomy on laparoscopic rectal cancer surgery. Methods Cochrane Library, EMBASE, Web of Science, and PubMed were applied for systematic search of all relevant literature, updated to May 07, 2021. Studies compared patients with and without ileostomy for laparoscopic rectal cancer surgery. We applied Review Manager software to perform this meta-analysis. The quality of the non-randomized controlled trials was assessed using the Newcastle-Ottawa scale (NOS), and the randomized studies were assessed using the Jadad scale. Results We collected a total of 1203 references, and seven studies were included using the research methods. The clinically significant anastomotic leakage rate was significantly lower in ileostomy group (27/567, 4.76%) than that in non-ileostomy group (54/525, 10.29%) (RR = 0.47, 95% CI 0.30–0.73, P for overall effect = 0.0009, P for heterogeneity = 0.18, I 2 = 32%). However, the postoperative hospital stay, reoperation, wound infection, and operation time showed no significant difference between the ileostomy and non-ileostomy groups. Conclusion The results demonstrated that protective ileostomy could decrease the clinically significant anastomotic leakage rate for patients undergoing laparoscopic rectal cancer surgery. However, ileostomy has no effect on postoperative hospital stay, reoperation, wound infection, and operation time. The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis.Yu MuLinxian ZhaoHongyu HeHuimin ZhaoJiannan LiBMCarticleClinically significant anastomotic leakageIleostomyLaparoscopyRectal cancerSurgeryRD1-811Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENWorld Journal of Surgical Oncology, Vol 19, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Clinically significant anastomotic leakage Ileostomy Laparoscopy Rectal cancer Surgery RD1-811 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Clinically significant anastomotic leakage Ileostomy Laparoscopy Rectal cancer Surgery RD1-811 Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Yu Mu Linxian Zhao Hongyu He Huimin Zhao Jiannan Li The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
description	Abstract Background Protective ileostomy is always applied to avoid clinically significant anastomotic leakage and other postoperative complications for patients receiving laparoscopic rectal cancer surgery. However, whether it is necessary to perform the ileostomy is still controversial. This meta-analysis aims to analyze the efficacy of ileostomy on laparoscopic rectal cancer surgery. Methods Cochrane Library, EMBASE, Web of Science, and PubMed were applied for systematic search of all relevant literature, updated to May 07, 2021. Studies compared patients with and without ileostomy for laparoscopic rectal cancer surgery. We applied Review Manager software to perform this meta-analysis. The quality of the non-randomized controlled trials was assessed using the Newcastle-Ottawa scale (NOS), and the randomized studies were assessed using the Jadad scale. Results We collected a total of 1203 references, and seven studies were included using the research methods. The clinically significant anastomotic leakage rate was significantly lower in ileostomy group (27/567, 4.76%) than that in non-ileostomy group (54/525, 10.29%) (RR = 0.47, 95% CI 0.30–0.73, P for overall effect = 0.0009, P for heterogeneity = 0.18, I 2 = 32%). However, the postoperative hospital stay, reoperation, wound infection, and operation time showed no significant difference between the ileostomy and non-ileostomy groups. Conclusion The results demonstrated that protective ileostomy could decrease the clinically significant anastomotic leakage rate for patients undergoing laparoscopic rectal cancer surgery. However, ileostomy has no effect on postoperative hospital stay, reoperation, wound infection, and operation time. The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis.
format	article
author	Yu Mu Linxian Zhao Hongyu He Huimin Zhao Jiannan Li
author_facet	Yu Mu Linxian Zhao Hongyu He Huimin Zhao Jiannan Li
author_sort	Yu Mu
title	The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
title_short	The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
title_full	The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
title_fullStr	The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
title_full_unstemmed	The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
title_sort	efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7f932dd1d9b8458097c2c8b27f0554f6
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The efficacy of ileostomy after laparoscopic rectal cancer surgery: a meta-analysis

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