To analyze the clinical effect of loop ileostomy after left hemicolectomy combine with one-stage anastomosis for the elderly patients with obstructing left-sided colonic cancer.

A retrospective analysis of 80 cases of obstructing left-sided colonic cancer patients undergoing left hemicolectomy in our hospital from January 2014 to June 2017 was made. According to whether undergoing loop ileostomy after resection, the patients were divided into the study group (with loop ileostomy, 39 cases) and control group (without loop ileostomy, 41 cases). All data were analyzed by SPSS 20.0 statistical software. The intraoperative and postoperative related indicators were presented as (±s) and were compared by t test. The incidence of postoperative complications was examined by chi square test.

There was no statistical difference in the intraoperative blood loss between the two groups (P>0.05). The operation time in the study group was significantly longer than that in the control group (P<0.05). The postoperative first feeding time, first exhaust time, drainage time, length of stay in the study group respectively were (2.5±0.9) d, (2.5±0.7) d, (5.7±1.5) d, (14.3±1.8) d, which were significantly shorter than those in the control group, all above had statistical difference (P<0.05). The rate of anastomotic leakage and totally postoperative complications in the study group was 2.6%, 17.9% respectively, which were significantly lower than those in the control group, 17.1%, 41.5%, all above had statistical difference (P<0.05).

The loop ileostomy after left hemicolectomy combine with one-stage anastomosis could promote postoperative recovery, shorten the length of stay and reduce postoperative complications, which is worthy of clinical promotion.