ArticleWorld journal of gastrointestinal surgery2025
Patient selection and operative strategies for laparoscopic intersphincteric resection without diverting stoma.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Comment on: "Transanal drainage tube placement in patients with temporary ileostomy after laparoscopic rectal resection for rectal cancer": forgotten 5 cm-anal-verge distance modifies TDT efficacy.Updates in surgery · 2026Article
- Stoma-Free Intersphincteric Resection in Low Rectal Cancer Without Radiotherapy: A Prospective Cohort Study on Safety and Recovery.Diseases of the colon and rectum · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiverting stoma (DS) is routinely proposed in intersphincteric resection for ultralow rectal cancer, but it is associated with increased stoma-related complications and economic burden. Appropriate patient selection and operative strategies to avoid stoma formation need further elucidation.
aimTo select patients who may not require DS.
methodsThis study enrolled 505 consecutive patients, including 84 who underwent stoma-free (SF) intersphincteric resection. After matching, patients were divided into SF (
resultsThe AL rate was greater in the SF group than in the DS group (12.8%
conclusionFemale patients who do not receive nCRT may avoid the need for DS by preserving the LCA without increasing the risk of AL or compromising oncological outcomes.
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