Defunctioning Stomas Result in Significantly More Short-Term Complications Following Low Anterior Resection for Rectal Cancer

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Re: Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer.

BACKGROUND A defunctioning stoma is frequently created to minimize the impact of any subsequent anastomotic leak after a low rectal anastomosis. This review evaluates the need for routine stoma formation. METHODS A meta-analysis was performed of randomized controlled trials (RCTs) and non-randomized studies with an interventional group evaluating the need for a defunctioning stoma after low a...

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Risk Factors of Permanent Stomas in Patients with Rectal Cancer after Low Anterior Resection with Temporary Stomas

PURPOSE The aim of this study was to identify risk factors influencing permanent stomas after low anterior resection with temporary stomas for rectal cancer. MATERIALS AND METHODS A total of 2528 consecutive rectal cancer patients who had undergone low anterior resection were retrospectively reviewed. Risk factors for permanent stomas were evaluated among these patients. RESULTS Among 2528 ...

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anastomotic leakage following low anterior resection of rectal cancer considering the role of protective stoma

abstract background and aims: probable risk factors of clinical anastomotic leakage and the role of defunctioning stoma in patients undergoing low anterior resection (lar) for rectal cancer, is still controversial. the goal of our study was to find out possible risk factors of anastomotic leakage and to locate the influence of protective stoma in the rate of anastomotic leakage. materials and m...

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Large variation in the use of defunctioning stomas after rectal cancer surgery. A lack of consensus.

BACKGROUND AND OBJECTIVES When deciding about the use of a defunctioning stoma in rectal cancer surgery, benefits and risks need to be weighed. This study investigated: (1a) factors associated with the use of defunctioning stomas; (1b) hospital variation; and (2) surgeons' perceptions regarding factors that determine this decision. METHODS Population-based data from the Dutch Surgical Colorec...

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The Impact of Postoperative Complications on Long-term Oncologic Outcomes After Laparoscopic Low Anterior Resection for Rectal Cancer

Laparoscopic rectal cancer surgery has technical difficulties with a higher complication rate than colon cancer. However, few studies have examined whether postoperative complications are associated with oncologic outcomes. The aim of this study is to evaluate the impact of postoperative complications on long-term oncologic outcomes after laparoscopic low anterior resection for rectal cancer.Be...

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ژورنال

عنوان ژورنال: World Journal of Surgery

سال: 2018

ISSN: 0364-2313,1432-2323

DOI: 10.1007/s00268-018-4672-0