Transanal reinforcement of low rectal anastomosis versus protective ileostomy after total mesorectal excision for rectal cancer. Preliminary results of a randomized clinical trial.

Donato Francesco AltomarePaolo DelrioYuri ShelgynEvgeny RybakovLeonardo VincentiMichele De FazioMichele SimoneGiusy GrazianoArcangelo Picciariello

Published in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2021)

Preliminary data suggest that transanal reinforcement of the suture line performed in rectal cancer patients with suture line at 1-3 cm from the dentate line carries a similar (even if not equivalent) AL rate to covering ileostomy, suggesting that a covering ileostomy could be avoided in this selected group of patients. This indication needs to be addressed with future larger trials (clinicaltrials.gov ID number NCT02279771).

Keyphrases

rectal cancer
locally advanced
end stage renal disease
ejection fraction
newly diagnosed
peritoneal dialysis
prognostic factors
big data
deep learning
artificial intelligence
patient reported