Benefits of laparoscopy-assisted ileostomy in colorectal cancer patients with bowel obstruction

Table 1 Demographics and clinical characteristics of patients undergoing laparoscopy-assisted versus conventional ileostomies, n (%)

Characteristics	Conventional group (n = 22)	Laparoscopic group (n = 26)	P value
Age, yr	63.5 ± 8.4	61.4 ± 7.4	0.339
Sex
Male	12 (54.5)	16 (61.5)	0.624
Female	10 (45.4)	10 (38.4)	0.643
Body mass index, kg/m2 [median (IQR)]	20.2 ± 3.2	20.8 ± 2.8	0.47
Mean ASA Class	2.3 ± 4.9	2.3 ± 4.8	0.902
Comorbidities	19 (86.4)	23 (88.5)	0.827
DM	11 (50)	14 (53.8)	0.790
Hypertension	15 (68.2)	17 (65.4)	0.838
CKD	5 (22.7)	7 (26.9)	0.738
Hypothyroidism	0 (0)	2 (7.7)	0.184
Cardiac disease	2 (9.1)	2 (7.7)	0.861
Smoking	2 (9.1)	4 (15.4)	0.511
Drinking	8 (36.4)	12 (46.2)	0.493

ASA: American Society of Anesthesiologists; CKD: Chronic kidney disease; DM: Diabetes mellitus; IQR: Interquartile range.

Table 2 Operative characteristics of patients undergoing laparoscopy-assisted versus conventional ileostomies, n (%)

Operative characteristics	Conventional group (n = 22)	Laparoscopic group (n = 26)	P value
Operative time (min, SD)	50.1 ± 20.4	61.5 ± 19.5	0.054
Estimated blood loss (mL, SD)	27.3 ± 14.9	30.0 ± 18.1	0.576
Adhesion lysis performed	9 (40.9)	11 (42.3)	0.922
Adhesion lysis duration (min, SD)	11.0 ± 4.3	22.2±5.6	< 0.001
The largest incision length	5.5 ± 0.7	4.1 ± 0.8	< 0.001
Intraoperative	3	3	0.490
complication
Bleeding	0	1 (3.8)
Bowel injury	1 (4.5)	2 (7.7)
Bladder injury	2 (9)	0
Vessel injury	0	0
Others	0	0

SD: Standard deviation.

Table 3 Postoperative outcomes of patients undergoing laparoscopy-assisted versus conventional ileostomy, n (%)

Postoperative outcomes	Conventional group (n = 22)	Laparoscopic group (n = 26)	P value
Visual Analogue Scale score	3.61 ± 0.9	3.0 ± 0.9	0.046
Length of stay (d, mean ± SD)	13.3 ± 13.4	9.3 ± 4.6	0.21
Complications	3 (13.6)	1 (3.8)	0.42
UTI	0	0
Pneumonia	1 (4.5)	0
Wound infection	2 (9)	1 (3.8)
Leakage	0	0
Ileus (over 5 d)	0	0
Bleeding	0	0
Incision hernia	0	0
Reversal time (wk)	10.7 ± 4.4	9.2 ± 4.1	0.226

SD: Standard deviation; UTI: Urinary tract infection.