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045). Poor differentiation (hazard ratio (HR) 1.893, 95% CI 1.127-3.179), lymph node metastasis (HR 2.063, 95% CI 1.228-3.467), and distant metastasis (HR 3.046, 95% CI 1.551-5.983) were associated with poor prognosis. Prolonged operative time increases the risk of PWCs, and patients with PWCs have a lower long-term survival rate than patients without PWCs. Therefore, surgeons should aim to reduce the operative time to minimise the risk of PWC in patients undergoing APR for rectal cancer. Prolonged operative time increases the risk of PWC

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