![]() DLI was constructed in more than 35% of high-located tumors ≥ 11 cm from the anal verge. ![]() The statistical increase of DS from 71.6% in 2007–2009 to 76.7% in 2016–2018 did not impact the incidence of AL (9.2% and 8.2%), respectively. In addition, independent risk factors for AL were investigated by multivariable regression. Patient characteristics, including DS status and occurrence of AL, were analyzed. ![]() MethodsĮlective patients subjected to AR in 2007–20-18 were recruited from the Swedish colorectal cancer registry (SCRCR). However, not much is known if the routine use of DS reduces the overall incidence of AL. Often a defunctioning loop-ileostomy is used, which is associated with substantial morbidity. Defunctioning stoma (DS) became the protective measure against AL. The goal of the sphincter-preserving procedure, such as AR, is vulnerable to anastomotic leak (AL) complications. Anterior resection (AR) is considered the gold standard for curative cancer treatment in the middle and upper rectum.
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