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Extended Low Anterior Resection with a Circular Stapler in Patients with Rectal Cancer: a Single Center Experience
Abdolhasan Talaeezadeh1, Mohammad Bahadoram, Amin Abtahian
1Department of General Surgery, Imam Hospital, Jondishapour University, Ahvaz, Iran
Background:
to evaluate the outcome of stapled colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma.
Materials And Methods:
A retrospective study of fifty patients who underwent colo- anal anastomoses after extended low anterior resection was conducted at Imam Hospital from September 2007 up to July 2012.
Results:
The distance of the tumor from anal verge was 3 to 8 cm. Anastomotic leakage developed in 6% of patients and defecation problems in 16% . One-year local recurrence was 6% while three-year local recurrence was 4%. One-year systemic recurrence was seen in 22% while three-year systemic recurrence was seen in 20%.
Conclusions:
Colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma can be conducted safely.
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