Objective: To explore the clinical safety and feasibility of
enterostomy using running
suture of dermis and seromuscular layer in laparoscopic-assisted radical resection for rectal
carcinoma. Methods: From May 1, 2017 to May 1, 2018, 46 patients who underwent laparoscopic-assisted radical resection for rectal
carcinoma with
enterostomy using running
suture of dermis and seromuscular layer in Cancer Hospital, Chinese Academy of Medical Sciences were retrospectively enrolled in this study. Data regarding clinicopathologic characteristics, operation and postoperative outcomes, stoma-related complications and functions of stoma were collected and analyzed. Results: All of the 46 patients successfully underwent this operation. Among them, 30 patients underwent laparoscopic-assisted
abdominoperineal resection for
rectal cancer with sigmoidostomy and 16 patients underwent laparoscopic-assisted low anterior resection for
rectal cancer with
loop ileostomy. The mean operation time was 115.3 minutes and intraoperative blood loss was 86.1 ml. The mean time for
enterostomy was 14.1 minutes. The average time to
flatus, time to fluid diet intake and length of
hospital stay were 1.8 days, 2.9 days and 6.5 days, respectively. During the follow-up period, three patients suffered from stomal
edema, two patients suffered from parastomal
hernia, and two patients suffered from skin
inflammation surrounding stoma. None of re-operation related stoma and severe mobility such as stomal
stenosis, stomal
necrosis, stomal
prolapse, stomal retraction and stomal mucocutaneous separation occurred. Thirty-five patients recovered with satisfactory stomal function, two with middle function and one with poor function. Conclusion:
Enterostomy using running
suture of dermis and seromuscular layer in laparoscopic-assisted radical resection for rectal
carcinoma is a safe and feasible procedure with a satisfactory short-term effect.