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首页> 外文期刊>International journal of colorectal disease. >Ileostomy versus fecal diversion device to protect anastomosis after rectal surgery: a randomized clinical trial
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Ileostomy versus fecal diversion device to protect anastomosis after rectal surgery: a randomized clinical trial

机译：对术治疗直肠手术后保护吻合术治疗吻合术治疗术后的术治疗：随机临床试验

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PurposePatients with rectal anastomosis commonly experience various ileostomy-related complications. This study aimed to elucidate the usefulness of a fecal diversion device (FDD) as an alternative to ileostomy for protecting rectal anastomosis.MethodsPatients with rectal anastomosis were randomly assigned to the ileostomy and FDD groups except in cases of emergency surgery. The primary endpoint was the clinical safety and effectiveness of FDD. The mean operation time, delay of diet advancement, length of hospital stay, FDD and stoma durations, and anastomotic leakage (AL) management methods were compared.ResultsA total of 54 patients were enrolled in this study. No cases of mortality occurred. Overall morbidity was similar between groups (P=0.551). Six patients (22.2%) in the FDD group and nine (29.0%) in the stoma group (P=0.555) had AL. The mean total hospital stay was 16.46.7 and 23.4 +/- 8.7days in the FDD and stoma groups, respectively (P=0.002). The mean total hospital cost was 12,726.8 +/- 3422.8 USD and 17,954.9 +/- 9040.3 USD in the FDD and stoma groups, respectively (P=0.008). The mean FDD and stoma durations were 21.6 +/- 6.1days and 114.9 +/- 41.3days, respectively (P<0.0001).Conclusions p id=Par4 This study demonstrated FDD safety and effectiveness. We identified the possibility of FDD as an alternative technique to conventional stoma procedures.
机译：具有直肠吻合术的预用缺点通常会经历各种与鼠瘘相关的并发症。本研究旨在阐明粪便转移装置（FDD）作为保护直肠吻合术的替代方法的替代性。除了应急手术的情况外，随机分配直肠吻合术的方法。主要终点是FDD的临床安全性和有效性。比较了平均手术时间，延迟延迟，医院住宿，FDD和造口持续时间，以及吻合泄漏（AL）管理方法。培养54名患者的培训。没有发生死亡情况。组之间的总体发病率相似（P = 0.551）。 FDD组中的六名患者（22.2％）和氮气组中的九（29.0％）（p = 0.555）具有Al。平均医院住院的入住时间为FDD和造口组分别为16.46.7和23.4 +/- 8.7天（P = 0.002）。平均医院成本分别为12,726.8 +/- 3422.8美元，分别为17,954.9 +/- 9040.3美元，分别为17,954.9 +/- 9040.3美元，分别为17,954.9美元（P = 0.008）。平均的FDD和造口持续时间分别为21.6 +/- 6.1day和114.9 +/- 41.3.3天（P <0.0001）.Conclusions p id = par4本研究表明FDD安全性和有效性。我们确定了FDD作为传统造口程序的替代技术的可能性。

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