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- W4313649518 abstract "The lateral intersecting margin (dog-ear) was a weak spot of the double stapled technique (DST), We designed dog-ear invagination anastomosis (DAIA), which could eliminate the dog-ear in laparoscopic anterior resection.A total of 202 patients underwent elective curative LLAR + DST (n = 143) or LLAR + DAIA (n = 59) were enrolled in the study. Propensity score matching (PSM) was used to minimize the adverse effects. The clinical data between LLAR + DST and LLAR + DAIA was compared, and the effect of factors on overall survival (OS) and disease-free survival (DFS) was analyzed.After PSM, 53 pairs of the LLRA + DST and LLRA + DAIA patients were enrolled in the study. The LLRA + DAIA group has a higher level (3.50 ± 1.03 vs. 2.87 ± 1.10, P = 0.01) of the anastomosis than that of the LLRA + DST group. Patients in LLAR + DAIA group have a lower incidence of protecting loop ileostomy compared to LLAR + DST group (20.75% vs. 5.66%, P < 0.05). The LLRA + DAIA patients presented better rates of LARS compare to LLRA + DST patients at 6 months (major LARS 37.74% (n = 20) vs. 67.93% (n = 36); P = 0.007) and 12 months (major LARS 13.21% (n = 7) vs. 20.37% (n = 11); P = 0.03) after surgery. The OS and DFS rates were similar (P > 0.05).Laparoscopic low anterior resection with dog-ear invagination anastomosis technique are well-established procedures for patients with low rectal cancer. Dog-ear invagination anastomosis technique may reduce the incidence of protecting loop ileostomy and significantly affect LARS score, and demonstrate a positive impact on the quality of life after surgery." @default.
- W4313649518 created "2023-01-07" @default.
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- W4313649518 date "2023-01-06" @default.
- W4313649518 modified "2023-10-14" @default.
- W4313649518 title "Short- and long-term outcomes of laparoscopic low anterior resection with “dog ear” invagination anastomosis for mid and distal rectal cancer a propensity score matched analysis" @default.
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- W4313649518 doi "https://doi.org/10.3389/fsurg.2022.1038873" @default.
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