Ultralow anterior resection with implantation of gentamicin-collagen sponge and no defunctioning stoma: anastomotic leakage and local cancer relapse.

LR was observed in 80% of patients with postoperative AL (4/5) while only 9% of patients without AL (12/130); the difference was highly significant (p = 0.00001).

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Influence of patient gender, diabetes and cardiovascular disease, obesity, preoperative radiotherapy, operating time, level of the anastomosis, blood transfusion, postoperative fever, T stage and N status on AL rate did not reach statistical significance.

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