{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T23:27:42Z","timestamp":1786750062914,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004622","name":"KWF Kankerbestrijding","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004622","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2018,8]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>Low Hartmann's resection (LHR<\/jats:styled-content>) and intersphincteric abdominoperineal excision (iAPR<\/jats:styled-content>) are both feasible options in the treatment of rectal cancer when restoration of bowel continuity is not desired. The aim of this study was to compare the incidence of pelvic abscess and associated need for re\u2010intervention and readmission after LHR<\/jats:styled-content> and iAPR<\/jats:styled-content>.<\/jats:p><\/jats:sec>Method<\/jats:title>From a snapshot research project in which all rectal cancer resections from 71 Dutch hospitals in 2011 were evaluated, patients who underwent LHR<\/jats:styled-content> or iAPR<\/jats:styled-content> were selected.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 185 patients were included: 139 LHR<\/jats:styled-content> and 46 iAPR<\/jats:styled-content>. No differences in baseline characteristics were found except for more multivisceral resections in the iAPR<\/jats:styled-content> group (22% vs<\/jats:italic> 10%; P\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.041). Pelvic abscesses were diagnosed in 17% of the LHR<\/jats:styled-content> group after a median of 21\u00a0days (interquartile range 10\u2013151\u00a0days), compared to 11% in the iAPR<\/jats:styled-content> group (P\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.352) after a median of 90\u00a0days (interquartile range 44\u2013269\u00a0days; P\u00a0<\/jats:italic>=\u00a0<\/jats:italic>0.102). All 28 patients with a pelvic abscess underwent at least one re\u2010intervention. Four patients (9%) in the iAPR<\/jats:styled-content> group and nine (7%) after LHR<\/jats:styled-content> were readmitted because of a pelvic abscess over a median 39\u00a0months of follow\u2010up.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>This cross\u2010sectional multicentre study suggests that cross\u2010stapling and intersphincteric resection of the rectal stump, during non\u2010restorative rectal cancer resection, are associated with an equal risk of pelvic abscess formation and have a similar need for re\u2010intervention and readmission.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14100","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T05:19:08Z","timestamp":1521868748000},"page":"696-703","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["What to do with the rectal stump during sphincter preserving rectal cancer resection with end colostomy: a collaborative snapshot study"],"prefix":"10.1111","volume":"20","author":[{"given":"E.","family":"Westerduin","sequence":"first","affiliation":[{"name":"Department of Surgery Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"},{"name":"Department of Surgery Tergooi Hospital Hilversum The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. S.","family":"Aukema","sequence":"additional","affiliation":[{"name":"Department of Surgery Spaarne Gasthuis Haarlem The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. A. W.","family":"van Geloven","sequence":"additional","affiliation":[{"name":"Department of Surgery Tergooi Hospital Hilversum The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. A.","family":"Bemelman","sequence":"additional","affiliation":[{"name":"Department of Surgery Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. J.","family":"Tanis","sequence":"additional","affiliation":[{"name":"Department of Surgery Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Dutch Snapshot Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0767-9"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31821c4b95"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000182"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-014-2069-6"},{"key":"e_1_2_9_6_1","first-page":"A4972","article-title":"Low risk of pelvic sepsis after intersphincteric proctectomy in patients with low rectal cancer","volume":"61","author":"Eriksen MH","year":"2014","journal-title":"Dan Med J"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-017-2886-5"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62013-9"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-14-94"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13644"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2004.03055.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000432"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2016.12.019"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13281"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i1981"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.14100","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.14100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T22:11:31Z","timestamp":1694988691000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.14100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1111\/codi.14100"],"URL":"https:\/\/doi.org\/10.1111\/codi.14100","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"2017-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}