Hand-sewn XXXX for @entity5 : technique and long-term outcome.

@entity1 @entity834 @entity12478 @entity5 @entity254 @entity2080
AIM: This study compared the operative outcome and long-term survival of three types of hand-sewn @entity254 ( @entity254 ) for @entity5 . METHOD: @entity1 presenting with @entity5 at a single centre between 2006 and 2014 were classified into three types of hand-sewn @entity254 : type 1 (supra-anal @entity5 undergoing transabdominal division of the rectum with transanal mucosectomy); type 2 (juxta-anal @entity5 , undergoing partial intersphincteric resection); and type 3 (intra-anal @entity5 , undergoing near-total intersphincteric resection with transanal mesorectal excision). RESULTS: Seventy-one @entity1 with @entity5 underwent @entity254 : 17 type 1; 39 type 2; and 15 type 3. The median age of @entity1 was 61.6  years, with a male/female ratio of 2:1. Neoadjuvant therapy was given to 56 (79%) @entity1 . R0 resection was achieved in 69 (97.2%) @entity1 . Adverse events occurred in 25 (35.2%) of the 71 @entity1 with a higher complication rate in type 1 vs type 2 vs type 3 (47.1% vs 38.5% vs 13.3%, respectively; P  =  0.035). @entity834 was identified in six (8.5%) @entity1 and pelvic haematoma/ @entity2080 in five (7%); two (8.3%) female @entity1 developed a @entity12478 . Ten (14.1%) @entity1 were indefinitely diverted, with a trend towards higher long-term anastomotic failure in type 1 vs type 2 vs type 3 (17.6% vs 15.5% vs 6.7%). The type of @entity254 did not influence the overall or disease-free survival. CONCLUSION: @entity254 is a safe technique in which anorectal continuity can be preserved either as a primary restorative option in elective cases of @entity5 or as a salvage procedure following a failed stapled @entity254 with a less successful outcome in the latter. @entity254 has acceptable morbidity with good long-term survival in carefully selected @entity1 .
