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Cost‐effectiveness comparison of delayed versus immediate coloanal anastomosis following ultralow anterior resection for rectal cancer

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Following ultralow anterior resection for distal rectal cancers, a coloanal anastomosis is usually created along with a defunctioning ileostomy (DI). Recent evidence suggests that abdominoperineal pull‐through with delayed coloanal anastomosis… Click to show full abstract

Following ultralow anterior resection for distal rectal cancers, a coloanal anastomosis is usually created along with a defunctioning ileostomy (DI). Recent evidence suggests that abdominoperineal pull‐through with delayed coloanal anastomosis (DCAA) is a viable alternative to immediate coloanal anastomosis (ICAA), minimizing the risk of anastomotic leakage and avoiding the need for stoma creation with the risk of stoma‐associated morbidity. However, DCAA requires a longer initial hospitalization. We aimed to perform a cost‐effectiveness analysis to compare DCAA versus ICAA for elective rectal cancer surgery.

Keywords: coloanal anastomosis; anastomosis; following ultralow; anterior resection; ultralow anterior; rectal

Journal Title: ANZ Journal of Surgery
Year Published: 2022

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