Impact of a diverting ileostomy in total mesorectal excision with primary anastomosis for rectal cancer.
Jeroen C HolThijs A BurghgraefMarieke L W RutgersRogier M P H CrollaAnna A W van GelovenGabie M de JongRoel HompesJeroen W A LeijtensFatih PolatApollo PronkAnke B SmitsJurriaan B TuynmanEmiel G G VerdaasdonkEsther C J ConstenColin SietsesPublished in: Surgical endoscopy (2022)
The stoma rate at one year was higher in patients with ileostomy construction during primary surgery. The incidence and severity of anastomotic leakage were not reduced by construction of an ileostomy. The morbidity related to the presence and reversal of a diverting ileostomy was substantial.