caa a22 4500 606246681 CHVBK 20210128101341.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0863-y doi (NATIONALLICENCE)springer-10.1007/s12262-013-0863-y Low or Ultralow Anterior Resection of Rectal Cancer Without Diverting Stoma: Experience with 28 Patients [Elektronische Daten] [E. Soltani, A. Jangjoo, E. Saremi] A diverting temporary stoma is frequently used to decrease the chance of anastomosis leakage in the middle and lower rectum cancer surgeries, but its role in preventing the leakage is still doubtful. This study has been designed to evaluate any possible anastomosis complications after a rectum resection and a low or ultralow anastomosis when no diverting stoma is applied in patients with rectal cancer. Twenty-eight patients suffering from rectal cancer were treated by a low anterior resection between the years 2005 and 2008 in Imam Reza University Hospital, Mashhad, Iran. Out of the 28 patients, 6 patients had already undergone a course of neoadjuvant radiotherapy. Anastomosis was performed manually in 23 patients, using a stapler in 5 of them. None of the patients had a diverting stoma. Then, the outcome was evaluated. Fecal incontinence occurred in one of the patients (6.7%) who had already undergone a course of radiotherapy preoperatively and had a stapler used for anastomosis. No leakage was detected in any of them. The very low incidence of complications in this study, such as those not preventable by a diverting stoma, suggest a very low chance of leakage in low or ultralow anastomosis in patients with rectal cancer and in those who were treated with neoadjuvant radiotherapy. Association of Surgeons of India, 2013 Rectal cancer nationallicence Diverting stoma nationallicence Anastomosis leakage nationallicence Low anterior resection nationallicence Soltani E. Trauma and Acute Care Research Center, Taleghani Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran aut Jangjoo A. Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran aut Saremi E. Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran aut Indian Journal of Surgery Springer India 77(2015-12-01), 423-426 0972-2068 77<423 2015 77 12262 https://doi.org/10.1007/s12262-013-0863-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0863-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Soltani E. Trauma and Acute Care Research Center, Taleghani Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran aut NATIONALLICENCE 700 1- Jangjoo A. Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran aut NATIONALLICENCE 700 1- Saremi E. Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 423-426 0972-2068 77<423 2015 77 12262