| Title: |
The impact of anastomotic leak on long-term oncological outcomes after low anterior resection for mid-low rectal cancer: extended follow-up of a randomised controlled trial |
| Authors: |
Bao Q. R.; Pellino G.; Spolverato G.; Restivo A.; Deidda S.; Capelli G.; Ruffolo C.; Bianco F.; Cuicchi D.; Jovine E.; Lombardi R.; Belluco C.; Amato A.; La Torre F.; Asteria C.; Infantino A.; Contardo T.; Del Bianco P.; Delrio P.; Pucciarelli S. |
| Contributors: |
Bao, Q. R.; Pellino, G.; Spolverato, G.; Restivo, A.; Deidda, S.; Capelli, G.; Ruffolo, C.; Bianco, F.; Cuicchi, D.; Jovine, E.; Lombardi, R.; Belluco, C.; Amato, A.; La Torre, F.; Asteria, C.; Infantino, A.; Contardo, T.; Del Bianco, P.; Delrio, P.; Pucciarelli, S. |
| Publisher Information: |
SPRINGER |
| Publication Year: |
2022 |
| Collection: |
Padua Research Archive (IRIS - Università degli Studi di Padova) |
| Subject Terms: |
Anastomotic leak; Low anterior resection; Rectal cancer; Survival; Total mesorectal excision; Disease-Free Survival; Follow-Up Studie; Human; Neoadjuvant Therapy; Neoplasm Recurrence; Local; Prognosi; Retrospective Studie; Proctectomy; Rectal Neoplasms |
| Description: |
Purpose: The impact of anastomotic leaks (AL) on oncological outcomes after low anterior resection for mid-low rectal cancer is still debated. The aim of this study was to evaluate overall survival (OS), disease-free survival (DFS), and local and distant recurrence in patients with AL following low anterior resection. Methods: This is an extension of a multicentre RCT (NCT01110798). Kaplan–Meier method and the log-rank test were used to estimate and compare the 3-, 5-, and 10-year OS and DFS, and local and distant recurrence in patients with and without AL. Predictors of OS and DFS were evaluated using the Cox regression analysis as secondary aim. Results: Follow-up was available for 311 patients. Of them, 252 (81.0%) underwent neoadjuvant chemoradiotherapy and 138 (44.3%) adjuvant therapy. AL occurred in 63 (20.3%) patients. At a mean follow-up of 69.5 ± 31.9 months, 23 (7.4%) patients experienced local recurrence and 49 (15.8%) distant recurrence. The 3-, 5-, and 10-year OS and DFS w. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/35773492; info:eu-repo/semantics/altIdentifier/wos/WOS:000819288700001; volume:37; issue:7; firstpage:1689; lastpage:1698; numberofpages:10; journal:INTERNATIONAL JOURNAL OF COLORECTAL DISEASE; https://hdl.handle.net/11577/3456063 |
| DOI: |
10.1007/s00384-022-04204-9 |
| Availability: |
https://hdl.handle.net/11577/3456063; https://doi.org/10.1007/s00384-022-04204-9 |
| Rights: |
info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.BA5ADD39 |
| Database: |
BASE |