Diseases of the colon and rectum
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Anastomotic leakage is a major complication of colorectal surgery causing a significant increase in 30-day mortality. The long-term prognosis of anastomotic leakage is poorly documented. This study was designed to assess whether anastomotic leakage affects five-year survival and local recurrence. ⋯ After rectal anastomosis, an anastomotic leak is associated with a significant increase in local recurrence.
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Resection of locally recurrent rectal cancer after curative resection represents a difficult clinical problem and a surgical challenge. The aim of this study was to assess the outcome of a series of patients who underwent resection of locally recurrent rectal cancer with curative intent. ⋯ This study has shown that a significant proportion of patients with locally recurrent rectal cancer can undergo resection with negative margins.