• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Can a permanent stoma rate still count as a quality indicator of rectal cancer management in the era of modern surgical practice?

Can a permanent stoma rate still count as a quality indicator of rectal cancer management in the era of modern surgical practice?

Ahmed Hammad, Mr, K Khan, Mr, Arijit Mukherjee, Mr

Hairmyres Hospital NHS Lanarkshire, Glasgow

Background: Permanent stoma rate continues to be one of the quality indicators for rectal cancer management. A 30% or more of permanent stoma rate in rectal cancer surgery is considered to be reflective of poor quality of care.

Aim: The aim of this study is to evaluate the rate of formation of stoma versus restorative surgery in a DGH where all cases are discussed preoperatively following appropriate staging.

Method: Retrospective study for all patients diagnosed with rectal cancer and underwent curative resection between May 2010 and January 2012.

Results: 89 patients underwent curative rectal cancer resection in this period. Sixty three patients (71%) underwent anterior resection (38M-25F), twenty four patients (27%) underwent APE (14M-10F) and two patients (2%) underwent low Hartmann’s procedure (2M). Median age was 72 years. Median tumour distance from the anal verge was 6 cm for anterior resection and 3cm for APE. The median SIMD (Scottish index of multiple deprivation) rank was 2843 for patients underwent anterior resection and 1927 for patients underwent APE (p=0.13) showing no significant relationship between low socioeconomic status and prevalence of low rectal tumours

All patients were discussed in the colorectal MDT meeting and the MDT decision was followed in 87 patients. Two patients (2.2%) had surgical decision changed intra-operatively to low Hartmann’s procedure due to cardiovascular instability and technical stapling difficulty respectively.R0 resection rate was 90%

Conclusion: Restorative resection rate per se (low permanent stoma rate) for low rectal cancers continues to be regarded as a national surrogate marker of surgical quality. Whilst an outcome audit is the best performance indicator for a DGH colorectal unit, due consideration should be given to prevalence of ultra low rectal cancers in certain demographic areas, site of the tumour, preoperative poor sphincter function and patient fitness Permanent stoma may not necessarily be a true depiction of quality of surgical care especially in the present era of MDT approach where management plans are made preoperatively.


Session: Poster Presentation

Program Number: P098

180

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals