• 作者：Francesc Vallribera Valls ; Borja Villanueva Figueredo ; Luis Miguel Jim茅nez G贸mez ; Eloi Esp铆n Bassany ; Jos茅 Luis S谩nchez Martinez ; Marc Mart铆 Gallostra ; Manuel Armengol Carrasco
• 关键词：Ileostomí ; a en asa ; Cierre de ileostomí ; a ; Morbimortalidad ; Anastomosis
• 刊名：Cirugía Espa?ola
• 出版年：March, 2014
• 年：2014
• 卷：92
• 期：3
• 页码：182-187
• 全文大小：330 K

Introduction

The objective of this study is to assess whether the results of loop ileostomy closure in terms of morbidity and hospital stay are influenced by the type of anastomosis and suture used.

Method

All patients who underwent loop ileostomy closure were reviewed. A retrospective cohort study comparing morbidity and hospital stay according to the type of anastomosis (TT/LL) and the type of suture (hand sewn/mechanical) was performed.

Results

From January 2003 to November 2011 a total of 167 loop ileostomy closures were analized. The groups were: type of anastomosis (TT 95/LL 72) and type of suture (manual 105/stapled 62). In 76% of the observed population the underlying disease was cancer. Mortality occurred in one case. The stratified morbidity analysis by type of complications showed no significant differences between the groups in terms of local (7.4% TT, LL 8.3%, 6.7% hand sewn, stapled 9.7%), general (TT 9.5%, 16.7% LL, hand sewn 6.7%, 6.5% stapled) and surgical (TT 15.8%, 19.4% LL, hand sewn 17.1%, 17.7% stapled) complications, nor in the rate of reoperations (TT 6.3%, 6.9% LL, hand sewn 6.7%, 6.5% stapled) and hospital stay in days (TT 7.8, 8 LL, hand sewn 8.6, stapled 6.7)

Conclusions

Closure of loop ileostomy can be performed regardless of the type of suture or anastomosis used, with the same rate of morbidity and hospital stay.