title: Extended Low Anterior Resection with a Circular Stapler in Patients with Rectal Cancer: a Single Center Experience.
abstract: BACKGROUND
  to evaluate the outcome of stapled colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma.
  
  
  METHODS
  A retrospective study of fifty patients who underwent colo- anal anastomoses after extended low anterior resection was conducted at Imam Hospital from September 2007 up to July 2012.
  
  
  RESULTS
  The distance of the tumor from anal verge was 3 to 8 cm. Anastomotic leakage developed in 6% of patients and defecation problems in 16% . One-year local recurrence was 6% while three-year local recurrence was 4%. One-year systemic recurrence was seen in 22% while three-year systemic recurrence was seen in 20%.
  
  
  CONCLUSIONS
  Colo-anal anastomoses after extended low anterior resection for distal rectal carcinoma can be conducted safely.
authors.affiliation: Department of General Surgery, Imam Hospital, Jondishapour University, Ahvaz, Iran E-mail : Abtahian.a@ajums.ac.ir.
authors.forename: Abdolhasan
authors.initials: A
authors.lastname: Talaeezadeh
authors.forename: Mohammad
authors.initials: M
authors.lastname: Bahadoram
authors.forename: Amin
authors.initials: A
authors.lastname: Abtahian
authors.forename: Alireza
authors.initials: A
authors.lastname: Rezaee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D057868:Anastomotic Leak / Q000601:surgery*; D003106:Colon / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000453:epidemiology*; D011183:Postoperative Complications; D015995:Prevalence; D011379:Prognosis; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013528:Surgical Staplers / Q000706:statistics & numerical data*; D055815:Young Adult