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8/5/2025 9:52:55 AM | Browse: 57 | Download: 119
Publication Name World Journal of Gastroenterology
Manuscript ID 110004
Country China
Received
2025-05-28 03:59
Peer-Review Started
2025-05-28 03:59
To Make the First Decision
Return for Revision
2025-06-05 10:19
Revised
2025-06-13 15:39
Second Decision
2025-07-08 02:41
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-07-08 03:11
Articles in Press
2025-07-08 03:11
Publication Fee Transferred
2025-06-20 11:23
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-07-27 14:54
Publish the Manuscript Online
2025-08-05 08:25
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Study
Article Title Long-term efficacy and short-term outcomes of intersphincteric resection vs abdominoperineal resection in patients with ultra-low rectal cancer
Manuscript Source Unsolicited Manuscript
All Author List Guan-Cong Wang, Jun-Xing Chen, Hong-Feng Pan, Kai Ye, Yin-Cong Guo and Ying Huang
Funding Agency and Grant Number
Funding Agency Grant Number
Natural Science Foundation of Fujian Province 2023J011819
Corresponding Author Yin-Cong Guo, Chief Physician, Professor, Department of Colorectal Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University, 59 Shengli West Road, Zhangzhou 363000, Fujian Province, China. fjzzgyc@126.com
Key Words Intersphincteric resection; Abdominoperineal resection; Ultra-low rectal cancer; Propensity score matching; Surgical outcomes
Core Tip Methodological rigor: As the largest propensity score-matched study comparing intersphincteric resection (ISR) and abdominoperineal resection (APR), we minimized selection bias by balancing 13 covariates across 803 patients (289 matched pairs). Survival advantage: ISR demonstrated a 6.7% absolute improvement in 5-year overall survival (80.8% vs 74.1%, HR = 0.554, P = 0.004) and reduced local recurrence (9.5% vs 12.9%, P = 0.019), establishing its oncologic superiority. Clinical implications: Despite higher anastomotic leakage rates (11.4% vs 1.0%), ISR significantly reduced total complications (29.4% vs 42.2%, P = 0.001) and hospitalization duration (9.8 days vs 12.9 days, P < 0.001), supporting its role as the preferred sphincter-preserving alternative to APR.
Publish Date 2025-08-05 08:25
Citation <p>Wang GC, Chen JX, Pan HF, Ye K, Guo YC, Huang Y. Long-term efficacy and short-term outcomes of intersphincteric resection vs abdominoperineal resection in patients with ultra-low rectal cancer. <i>World J Gastroenterol</i> 2025; 31(29): 110004</p>
URL https://www.wjgnet.com/1007-9327/full/v31/i29/110004.htm
DOI https://dx.doi.org/10.3748/wjg.v31.i29.110004
Full Article (PDF) WJG-31-110004-with-cover.pdf
Manuscript File 110004_Auto_Edited_071952.docx
Answering Reviewers 110004-answering-reviewers.pdf
Audio Core Tip 110004-audio.mp3
Biostatistics Review Certificate 110004-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 110004-conflict-of-interest-statement.pdf
Copyright License Agreement 110004-copyright-assignment.pdf
Approved Grant Application Form(s) or Funding Agency Copy of any Approval Document(s) 110004-foundation-statement.pdf
Signed Informed Consent Form(s) or Document(s) 110004-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 110004-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 110004-non-native-speakers.pdf
Peer-review Report 110004-peer-reviews.pdf
Scientific Misconduct Check 110004-scientific-misconduct-check.png
Scientific Editor Work List 110004-scientific-editor-work-list.pdf
CrossCheck Report 110004-crosscheck-report.pdf