OBJECTIVE: To discuss the feasibility of terminal intestinal exteriorization (exteriorization without ileostomy) in laparoscopic anterior resection for @entity5 . METHODS: Clinicopathological data of 77 @entity1 undergoing laparoscopic anterior resection for @entity5 in our department from January 2011 to December 2013 were retrospectively analyzed. After laparoscopic rectal resection, 32 @entity1 received terminal intestinal exteriorization (exteriorization group) and 45 @entity1 received preventive ileostomy (ileostomy group). Anastomosis-related, stoma-related and intestinal stoma closure-related morbidity was compared between the two groups. RESULTS: There were no significant differences in operative time, @entity190 and overall hospital stay between the two groups (all P>0.05). The total hospital cost was (5.39  1.74)*10(4) yuan in the exteriorization group, and (6.98  1.37)*10(4) yuan in the ileostomy group(P<0.01). The incidences of postoperative anastomotic @entity292 was not significantly different between the two groups(P>0.05). Three @entity1 (9.4%) developed @entity834 in the exteriorization group and 2(4.4%) in the ileostomy group. The @entity834 was managed by opening the external intestinal wall and maturating an ileostomy under local anaesthesia. All these 5 @entity1 were cured with nutritional support, antibiotics, continuous local drainage. In the exteriorization group, 5 @entity1 had complications related to stoma and intestinal stoma closure operation(15.6%), which was lower than(42.2%) in the ileostomy group(P=0.013). CONCLUSION: Terminal intestinal exteriorization in laparoscopic anterior resection is a safe and feasible surgical procedure with little @entity130 and less hospital cost, which can be an alternative as a prophylactic treatment for @entity1 with high risk of @entity834 .

[Feasibility of terminal intestinal exteriorization in laparoscopic anterior resection for anterior XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leak'] @entity5 :: ('MESH:D009369', 'Disease') :: ['low rectal cancer', 'rectal cancer'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
