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Ulrich, A.* ; Weitz, J.* ; Büchler, M.W.*

Protektives Stoma nach tiefer anteriorer Rektumresektion: Pro.

Protective stoma after deep anterior rectal resection: Pro.

Chirurg 81, 964-967 (2010)
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Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
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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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
ISSN (print) / ISBN 0009-4722
Quellenangaben Band: 81, Heft: 11, Seiten: 964-967 Artikelnummer: , Supplement: ,
Verlag Berufsverband der Deutschen Chirurgen
Institut(e) Institute for Pancreatic Beta Cell Research (IPI)