OBJECTIVE: To summarize the application of protective terminal ileostomy in laparoscopic total mesorectal excision for @entity5 @entity1 , and explore the risk factors associated with @entity260 and timing of stoma closure. METHODS: Clinical data of 77 @entity1 with middle or low @entity5 undergoing laparoscopic total mesorectal excision (TME) with preventive terminal ileostomy in our department from January 2007 to December 2013 were retrospectively analyzed. Independent risk factors associated to @entity260 of terminal ileostomy were examined by logistic regression and timing of stoma closure was investigated. RESULT: The total postoperative complication morbidity was 57.1%(44/77). Electrolyte disturbance was found in 39 cases (50.6%, 39/77), including 1 case of @entity1163 . @entity547 occurred in 9 cases (11.7%, 9/77). @entity1909 and @entity733 was observed in 1 case (1.3%, 1/77). The result of the single factor analysis of the water electrolyte disturbance after operation, the risk factors of P<0.2 were new adjuvant chemotherapy (P=0.094), @entity5 antigen (P=0.086) and TNM staging (P=0.026); @entity86 hernia of the single factor analysis results, the risk factors of P<0.2 included uses of antidiabetic drugs (P=0.172), ASA anesthesia (P=0.168) grading and TNM stage(P=0.161); But multivariate analysis revealed no risk factors associated with the above complications (all P>0.05). Sixty-five @entity1 underwent stoma closure during follow-up, including 2 cases (3.1%) within 90 days, 20 cases (30.8%) from 90 to 180 days, and 43 cases (66.2%) more than 180 days. CONCLUSIONS: No risk factors were found to be associated with @entity260 of protective terminal ileostomy after laparoscopic TME for @entity5 @entity1 , such as electrolytes imbalance and @entity547 . The timing of stoma closure should be longer than 180 days.

[Risk factor analysis on XXXX after laparoscopic total mesorectal excision with preventive terminal ileostomy and timing of stoma closure in @entity5 ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'rectal cancer'] @entity1163 :: ('MESH:D013575', 'Disease') :: ['hypovolemic syncope'] @entity260 :: ('MESH:D011183', 'Disease') :: ['main postoperative complications', 'postoperative complications'] @entity733 :: ('MESH:D000038', 'Disease') :: ['subcutaneous abscess'] @entity86 :: ('MESH:D019106', 'Disease') :: ['Postoperative parastomal'] @entity547 :: ('MESH:D006547', 'Disease') :: ['Parastomal hernia', 'parastomal hernia'] @entity1909 :: ('MESH:D003872', 'Disease') :: ['Peristomal dermatitis']
@entity260 :: (MESH:D011183,Disease) :: ['postoperative complications']
