C.. patients were significantly older (58 ± 9 years old) than the hyaluronate. Although myeloablative conditioning provides rapid hematopoietic. SFM is challenging because of the requirement for extensive posterior dissection while the vascular supply to the hind gut is preserved via the marginal artery. Also cytotec online sale without prescription SFM during laparoscopic AR or LAR may be associated with longer operation time, patient repositioning, additional port insertion, or splenic injury [17,18]. A mail-in survey of 35 experienced laparoscopic colorectal surgeons showed that SFM is one of the hardest procedures to perform[6]. In our study, we did not experience any complications related to SFM such as spleen injury, bowel injury, or unexpected bleeding. The mean time required for SFM was 25.61 ± 10.56 min, while the ratio of the time required for SFM to the entire operation time was 9.82% ± 3.94%. In particular, SFM in a LAR with diverting stoma (8.27% ± 3.06%) took a significantly smaller portion of the entire operation time than that in AR (11.45% ± 4.46%) or LAR (9.86% ± 3.18%) (P < 0.0001) (Table 3). In our study, all operations were performed by 3 surgeons with subspecialty for colorectal surgery in St. Vincent's Hospital of the Catholic University of Korea. In our hospital, approximately 250 operations for colorectal cancer are performed annually. We performed approximately 90% of colorectal cancer surgeries laparoscopically during this study period. These findings suggest that SFM during laparoscopic AR or LAR performed by an experienced hand is safe and feasible, rather than time-consuming as thought previously..

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