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Open Access Gold as soon as Publ. Version/Full Text is submitted to ZB.
Protektives Stoma nach tiefer anteriorer Rektumresektion: Pro.
Protective stoma after deep anterior rectal resection: Pro.
Chirurg 81, 964-967 (2010)
There is still controversy about the necessity of a diverting stoma after deep anterior resection with total mesorectal excision for rectal cancer. Recent results of randomized controlled trials and from systematic reviews have improved the currently available data. A significant benefit was shown for patients with diverting stoma in terms of clinically relevant anastomotic leakage and re-operation rates. The influence on mortality is not as clear. However, analysis of the data of 19 prospective studies within a systematic review including more than 9,000 patients, revealed a significant benefit for stoma creation. Furthermore, the rate of patients with stoma 5 years after primary resection was lower in the group of patients with diverting stoma. The purpose of this manuscript is to show the necessity of a diverting stoma based on the currently available data.
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Publication type
Article: Journal article
Document type
Scientific Article
ISSN (print) / ISBN
0009-4722
Quellenangaben
Volume: 81,
Issue: 11,
Pages: 964-967
Publisher
Berufsverband der Deutschen Chirurgen
Institute(s)
Institute of Pancreatic Islet Research (IPI)