ObjectiveTo investigate the application value of terminal ileostomy in laparoscopic anal sphincter preservation for low rectal cancer. MethodsThe clinical data of 82 patients who received laparoscopic anal sphincter preservation for low rectal cancer were retrospectively analyzed. Seventy patients with conventional anastomosis were enrolled in control group, and 12 patients with terminal ileostomy in observation group. The clinical indexes, laboratory indexes, complications and postoperative anal functions were compared between the two groups. ResultsThe observation group yielded less out-of-bed activity time, postoperative anal exhaust time, hospital stays and postoperative fluid infusion days, whereas a lower incidence of postoperative complications as compared with the control group (all P＜0.05); 5 days after operation, the levels of C-reactive protein (CRP) and white blood cell (WBC) count in the observation group were lower than those in the control group (all P＜0.05); 2 weeks and half a year after operation, the anal function score of the observation group was higher than that of the control group (P＜0.05). ConclusionApplying terminal ileostomy in laparoscopic anal sphincter preservation for low rectal cancer has a preferable effect, which is conducive to the early recovery of patients, reducing the occurrence of complications, and improving the anal function of patients.

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