short- and long-term results of hand-sewn coloanal anastomosis performed as a salvage procedure...

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  • 8/14/2019 Short- And Long-Term Results of Hand-Sewn Coloanal Anastomosis Performed as a Salvage Procedure After Rectal Resection

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    Figure 1: Recurrence-free survival curve of curatively operated patients

    Kaplan-Meier recurrence-free survival analysis for patients with rectal cancer who underwent CAA (R0-resections).

    Figure 2: Cumulative survival curve of all patients with rectal cancer

    Kaplan-Meier curves illustrate the expected difference in survival rates between patients with low-grade tumors (i.s.Ca., Dukes

    A and B) and those with high-grade tumors (Dukes C and D). This was confirmed by log-rank testing(p=0.0004).

    Complications at the anastom osis

    After 24 of the 59 operations, either a necrosis of the pulled-through colon or an insufficiency of the anastomosis occurred(40.7%). None of the patients with fistulae experienced anastomotic insufficiency or necrosis, whereas the rate of these

    complications in patients of with carcinomas was 51.3% (Table 2).

    Table 2: Univariate analysis of risk factors for early anastomotic complications

    *p

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