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dc.contributor.authorHaksal, Mustafa
dc.contributor.authorOkkabaz, Nuri
dc.contributor.authorAtıcı, Ali Emre
dc.contributor.authorCivil, Osman
dc.contributor.authorÖzdenkaya, Yaşar
dc.contributor.authorErdemir, Ayhan
dc.contributor.authorAksakal, Nihat
dc.contributor.authorÖncel, Mustafa
dc.identifier.citationHaksal, M., Okkabaz, N., Atıcı, A. E., Civil, O., Özdenkaya, Y., Erdemir, A. ... Öncel, M. (2017). Fortune of temporary ileostomies in patients treated with laparoscopic low anterior resection for rectal cancer. Annals of Surgical Treatment and Research, 92(1), 35-41.
dc.description2016 IEEE International Ultrasonics Symposium, IUS 2016 -- 18 September 2016 through 21 September 2016 -- 124585en_US
dc.description.abstractPurpose: The current study aims to analyze the risk factors for the failure of ileostomy reversal after laparoscopic low anterior resection for rectal cancer. Methods: All patients who underwent a laparoscopic low anterior resection for rectal cancer with a diverting ileostomy between 2007 and 2014 were abstracted. The patients who underwent and did not undergo a diverting ileostomy procedure were compared regarding patient, tumor, treatment related parameters, and survival. Results: Among 160 (103 males [64.4%], mean [± standard deviation] age was 58.1 ± 11.9 years) patients, stoma reversal was achieved in 136 cases (85%). Anastomotic stricture (n = 13, 52.4%) was the most common reason for stoma reversal. These were the risk factors for the failure of stoma reversal: Male sex (P = 0.035), having complications (P = 0.01), particularly an anastomotic leak (P < 0.001), or surgical site infection (P = 0.019) especially evisceration (P = 0.011), requirement for reoperation (P = 0.003) and longer hospital stay (P = 0.004). Multivariate analysis revealed that male sex (odds ratio [OR], 7.82; P = 0.022) and additional organ resection (OR, 6.71; P = 0.027) were the risk factors. Five-year survival rates were similar (P = 0.143). Conclusion: Fifteen percent of patients cannot receive a stoma reversal after laparoscopic low anterior resection for rec tal cancer. Anastomotic stricture is the most common reason for the failure of stoma takedown. Having complications, particularly an anastomotic leak and the necessity of reoperation, limits the stoma closure rate. Male sex and additional organ resection are the risk factors for the failure in multivariate analyses. These patients require a longer hospitalization period, but have similar survival rates as those who receive stoma closure procedure.en_US
dc.publisherKorean Surgical Societyen_US
dc.rightsAttribution-NonCommercial 4.0 International*
dc.subjectRectal Neoplasmsen_US
dc.titleFortune of temporary ileostomies in patients treated with laparoscopic low anterior resection for rectal canceren_US
dc.relation.journalAnnals of Surgical Treatment and Researchen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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