To evaluate the clinical outcome of the modified three-needle method for preventive ileostomy.

From April 2018 to August 2018, a retrospective analysis was performed in 13 patients who underwent laparoscopic radical resection of rectal cancer. The preventive ileostomy was modified by the three-needle method. The procedure was as following. The first and second needle was all sutured between the rectus abdominis muscle, and the suture passed through the avascular zone of the mesentery on the both sides. We tighten the first suture; The second needle and the third needle was performed in the distal and proximal intestines of the stoma. Finally ostomy was opened and suture was made between the whole layer of the stoma to the skin.

All the 13 patients were performed successfully. The average operation time was(139.62±47.01) min, , and the average intraoperative blood loss was (56.15±32.54) ml. One patient had ostomy skin mucosal separation after operation and recovered after conservative treatment. There were no complications such as stoma mucosal separation from the skin, stoma collapse, ostomy prolapse, fistula necrosis, stenosis, infection and other complications.

The operative procedure is simple and easy with less complications, and the operation time is relatively decreased, and it is easy for the close of stoma. The surgical procedure of the preventive ileostomy is further improved. The general condition is good, safe and feasible.

Rectal neoplasms; Ileostomy; Three-needle method