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Role of the interval from completion of neoadjuvant therapy to surgery in postoperative morbidity in patients with locally advanced rectal cancer

Annals of Surgical Oncology Apr 12, 2019

Roxburgh CSD, et al. - In view of the observation that response of rectal cancer to neoadjuvant therapy increases with increasing the interval from the conclusion of neoadjuvant therapy to surgery past 8 weeks, researchers examined whether perioperative morbidity increases with the extension of time to surgery. Among 607 patients who presented with a tumor within 15 cm of the anal verge from 2009-2015, 317 patients underwent surgery at < 8 weeks, 229 patients at 8-12 weeks, and 61 patients at 12-16 weeks. Outcomes suggest postoperative complications were not independently predicted by the interval between neoadjuvant therapy and surgery.The presence of a complication was independently linked to male sex, tumor location within 5 cm of the anal verge, open operative approach, and neoadjuvant chemoradiotherapy administered alone in multivariable analysis. The presence of a complication was independently linked to male sex, tumor location within 5 cm of the anal verge, open operative approach, and neoadjuvant chemoradiotherapy administered alone in multivariable analysis.

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