18 August 2025 : Database Analysis
Surgical Outcomes in Laparoscopic vs Open Diverting Colostomy for Radiation-Related Rectovaginal Fistula
Zhen Liu
BCDF 1, Lu Ren ACEF 2, Jinliang Zhang BEF 1, Dong Guo ABCEF 3*
DOI: 10.12659/MSM.947487
Med Sci Monit 2025; 31:e947487
Table 3 Postoperative recovery and complications.
| Laparoscopic (n=28) | Open (n=38) | P value | |
|---|---|---|---|
| Time to pass first flatus (d) | 1.18±0.39 | 1.32±0.47 | 0.26 |
| Time to first defecation (d) | 1.64±0.56 | 1.82±0.65 | 0.33 |
| Time to resume liquid diet (d) | 2.21±0.57 | 2.37±0.82 | 0.43 |
| Time to resume normal diet (d) | 4.14±0.65 | 4.23±0.82 | 0.68 |
| Postoperative length of stay (d) | 6±2.43 | 8±3.33 | 0.0165 |
| ICU admission | 4 | 6 | 0.55 |
| Pain score | 3 (2–5) | 5 (4–8) | <0.01 |
| Days receiving analgesics | 1.5±0.58 | 2.8±0.86 | <0.01 |
| Perioperative complications | |||
| Ileus | 1 | 2 | NS |
| Hemorrhage or hematoma | 1 | 0 | NS |
| Perforation | 0 | 0 | NS |
| Surgical site infection | 0 | 5 | 0.04 |
| Stoma-related complications | NS | ||
| Peristomal dermatitis | 1 | 2 | |
| Dehiscence | 0 | 0 | |
| Retraction | 1 | 0 | |
| Stenosis | 1 | 1 | |
| Necrosis | 0 | 0 | |
| Prolapse | 1 | 1 | |
| Parastomal hernia | 0 | 2 | |
| Reoperation | 2 | 3 | 0.91 |
| Reason for reoperation | NS | ||
| Hematochezia | 1 | 0 | |
| Stoma stenosis | 1 | 1 | |
| Parastomal hernia | 0 | 1 | |
| Small bowel obstruction | 0 | 1 | |
| In-hospital mortality | 0 | 0 |