The occurrence of @entity834 ( @entity834 ) remains a major concern in the early postoperative stage. Because of the relatively high morbidity and mortality of @entity834 in @entity1 with @entity5 who receive an anterior resection, a fecal diverting method is usually introduced. The Valtrac   -secured intracolonic bypass (VIB) was used in open rectal resection, and played a role of protecting the anastomotic site. This study was designed to assess the efficacy and safety of the VIB in protecting laparoscopic low rectal @entity254 and to compare the efficacy and complications of VIB with those of @entity6124 ( @entity6124 ).Medical records of the 43 @entity1 with @entity5 who underwent elective laparoscopic low anterior resection and received VIB procedure or @entity6124 between May 2011 and May 2013 were retrospectively analyzed, including the @entity1 ' demographics, clinical features, and operative data.Twenty-four @entity1 received a VIB and 19 @entity1 a @entity6124 procedure. Most of the demographics and clinical features of the groups, including @entity5 , were similar. However, the median distance of the @entity5 edge from the anus verge in the VIB group was significantly longer (7.5cm; inter-quartile range [IQR] 7.0-9.5cm) than that of the L1 group (6.0cm; IQR 6.0-7.0cm). None of the @entity1 developed clinical @entity834 . The comparisons between the @entity6124 and the VIB groups were adjusted for the significant differences in the @entity5 level of the groups. After adjustment, the @entity6124 group experienced longer overall postoperative hospital stay (14.0 days, IQR: 12.0, 16.0 days; P<0.001) and incurred higher costs ( 6300 (IQR:  5900,  6600)) than the VIB group (7.0 days,  4800; P<0.05). Stoma-related complications in the ileostomy group included @entity1909 (n=2), stoma @entity548 (n=1), and wound @entity281 after closure (n=2). No BAR-related complications occurred. The mean time to Valtrac    ring loosening was 14.1  3.2 days.The VIB procedure, as a good partner with the laparoscopic @entity5 resection, appears to be a safe and effective, but time-limited, diverting technique to protect an elective low colorectal @entity254 .

Use of valtrac   -secured intracolonic bypass in laparoscopic XXXX resection.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['AL', 'anastomotic leakage'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'Dukes stages', 'laparoscopic low rectal cancer', 'rectal cancer'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity6124 :: ('MESH:D001765', 'Disease') :: ['loop ileostomy', 'LI'] @entity1909 :: ('MESH:D003872', 'Disease') :: ['dermatitis']
@entity5 :: (MESH:D009369,Disease) :: ['rectal cancer']
