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- W1987374610 abstract "Abstract Purpose determine the predictive factors for non-closure of defunctioning stoma in the low anterior resection for the treatment of rectal adenocarcinoma. Methods a retrospective cohort study of patients undergoing low anterior resection with defunctioning stoma for a period of nine years was performed. We compared, using univariate and multivariate analysis, the group that closed the defunctioning stoma (Group A) with the group that did not (Group B). Results eighty-one patients were analyzed; mean age was 61 ± 11 years, with a predominance of women (55.6%). Middle rectal tumors (66.6%), pT3 (59.2%) and pN0 (71.6%) were the most frequent. Stapled anastomosis (65.4%), and loop colostomy (80.2%) were the procedures most frequently performed. Sixty-five patients (80.2%) underwent stoma closure. The mean time for closure was 8.7 ± 4.4 months. The independent risk factors for non-closure of defunctioning stoma were complications of the anastomosis (p = 0.008) and follow-up complications (p = 0.007). Conclusion complications with anastomosis and during the follow-up are factors that may justify a permanent stoma after low anterior resection for treatment of rectal adenocarcinoma." @default.
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- W1987374610 date "2013-12-01" @default.
- W1987374610 modified "2023-09-25" @default.
- W1987374610 title "Predictive factors for temporary defunctioning stoma permanence in the treatment of rectal adenocarcinoma" @default.
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- W1987374610 doi "https://doi.org/10.1016/j.jcol.2013.09.003" @default.
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