BACKGROUND: @entity834 following anterior rectal resection is the most important and most commonly faced complication of laparoscopy and open surgery. To prevent this complication, the construction of a preventing stoma is usually adopted. It is not easy to decide whether to construct a protective stoma in @entity1 with a medium risk of @entity834 . In these @entity1 , @entity4369 ( @entity4369 ), a pre-stage ileostomy that can be externalized and opened if needed, has proved useful. We conducted a prospective, randomized, controlled study to evaluate the advantages of @entity4369 in laparoscopic rectal resection. METHODS: All @entity1 with surgical indications for laparoscopic rectal resection who were at medium risk for @entity834 from January 2007 to January 2013 were included and were randomly divided in 2 groups. All of the @entity1 were subjected to laparoscopic anterior rectal resection with the performance of @entity4369 (group A) or without the construction of any protective stoma (group B). The presence and severity of clinically evident postoperative @entity260 and reinterventions were investigated. RESULTS: Of the 55 @entity1 allocated to group A, 3 experienced @entity834 compared with 4 in group B. The @entity1 with @entity4369 experienced a lower severity of @entity834 and shorter hospitalization compared with the @entity1 in group B. None of the @entity1 with @entity4369 and @entity834 required laparotomy to treat the dehiscence. CONCLUSIONS: The use of @entity4369 in laparoscopic rectal resections in @entity1 at medium risk for @entity834 was useful because it allowed for the avoidance of stoma creation in all of the @entity1 , thus reducing the number of stomas performed, improving the quality of life of the @entity1 and preserving, in most cases, the benefits gained by laparoscopy.

Does XXXX have a role in the laparoscopic rectal surgery era? A randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['Anastomotic leakage', 'anastomotic leakage'] @entity260 :: ('MESH:D011183', 'Disease') :: ['anastomotic leakage and other postoperative complications'] @entity4369 :: ('MESH:D018126', 'Disease') :: ['ghost ileostomy', 'GI']
@entity4369 :: (MESH:D018126,Disease) :: ['ghost ileostomy']
