Morbidity and oncological outcomes after intersphincteric resection of the rectum for low‑lying rectal cancer: experience of a single center in a lower‑middle‑income country

dc.contributor.authorBediako‑Bowan, A.A.A.
dc.contributor.authorNaalane, N.
dc.contributor.authorDakubo, J.C.B.
dc.date.accessioned2023-04-21T17:39:19Z
dc.date.available2023-04-21T17:39:19Z
dc.date.issued2023
dc.descriptionResearch Articleen_US
dc.description.abstractBackground Intersphincteric resection (ISR) of the rectum for low-lying rectal cancer with colo-anal anastomosis was introduced years ago, allowing for bowel continuity, and avoiding permanent stomas. The colorectal unit of Korle Bu Teaching Hospital adopted this procedure in 2014 when indicated, for the management of rectal cancers, where hitherto, abdominoperineal resection of the rectum with a permanent stoma was indicated. This study aimed to assess morbidity, mortality, and oncological outcomes associated with ISR of the rectum and determine the factors contributing to these. Methods This was an observational study from prospectively stored data. All patients who underwent intersphinc‑ teric resection of the rectum due to low-lying rectal cancer from July 2014 to June 2021 were included in the study, and their records were assessed for intra-operative and 30-day postoperative complications, as well as mortality and their related risk factors and their oncological outcomes in terms of local recurrence at one year. Results 102 patients were included in this analysis. Six percent (6/102) of patients had intra-operative complications, including bleeding, and 41% (42/102) had 30-day postoperative complications, which were associated with pelvic side wall attachment of tumor and intra-op complications. Mortality risk was 12.7% (13/102) in the early postoperative period, and nine patients had a local recurrence within the frst year of surgery.en_US
dc.identifier.otherhttps://doi.org/10.1186/s12893-023-01940-9
dc.identifier.urihttp://ugspace.ug.edu.gh:8080/handle/123456789/38915
dc.language.isoenen_US
dc.publisherBMC Surgeryen_US
dc.subjectRectal canceren_US
dc.subjectIntersphincteric resection of rectumen_US
dc.subjectSurgeryen_US
dc.subjectLocal recurrenceen_US
dc.subjectComplicationsen_US
dc.titleMorbidity and oncological outcomes after intersphincteric resection of the rectum for low‑lying rectal cancer: experience of a single center in a lower‑middle‑income countryen_US
dc.typeArticleen_US

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