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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/24887

 
Title :直腸癌手術に伴う一時的回腸ストーマ造設術関連合併症の検討
Title alternative :Complications associated with temporary ileostomy for rectal cancer
Authors :松下, 和敏
新垣, 淳也
佐村, 博範
古波倉, 史子
堀, 義城
菅田, 一貴
谷口, 春樹
長嶺, 義哲
本成, 永
亀山, 眞一郎
伊志嶺, 朝成
伊佐, 勉
宮里, 恵子
金城, 達也
西巻, 正
Authors alternative :Matsushita, Kazutoshi
Arakaki, Junya
Samura, Hironori
Kohakura, Fumiko
Hori, Yoshiki
Sugata, Kazuki
Taniguchi, Haruki
Nagamine, Yoshitetsu
Motonari, Haruka
Kameyama, Shinichiro
Ishimine, Tomonari
Isa, Tsutomu
Miyazato, Keiko
Kinjo, Tatsuya
Nishimaki, Tadashi
Authors affiliation :Department of Surgery, Center for Gastroenterology
Department of Breast Surgery, Urasoe General Hospital
Department of Digestive and General Surgery, Graduate school of Medicine
Issue Date :2020
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
Abstract :The resection of the lower anterior portion of the rectum has become a popular surgical method for the treatment of cancer. This method allows for cancer resection while preserving the anal sphincter muscle. However, due to the risk of rupture of sutures at the anastomosis site, temporary ileostomy is often performed as a concomitant, preventative procedure. Ileostomy itself may be associated with certain complications and may have a negative impact on the quality of life of patients. In this study, we included 43 patients with rectal cancer who had undergone surgery at our hospital between 2011 and 2016. We collected data regarding patientsʼ age, sex, body mass index, rectal cancer sites, complication types, and other clinical variables. We also investigated surgery-related variables such as surgical method, medical history of diabetes mellitus, smoking history, and other relevant variables to identify the risk factors for complications. The most common complication was skin irritation (n=12, 28%). We did not identify any statistically significant risk factors. Most complications resolved following appropriate medical treatment. However, one patient with outlet obstruction underwent reoperation because of mesentery inflammation. In conclusion, early prevention and treatment of complications is important, regardless of the patient background.
URI :http://hdl.handle.net/20.500.12001/24887
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.39 no.1-4 p.15 -20
Appears in Collections:Ryukyu Medical Journal

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