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33 In the fourth stage (colorectal cancer), the colon wall is thickened, intestinal narrowing occurs, and the patient may experience persistent abdominal pain, blood in the stool, and changes in bowel behavior, thus seriously affecting the patients life and health

In contrast, studies relying solely on anatomical landmarks (Yildirim et al., Krolu et al.) showed varied effects, potentially due to lower injection accuracy [60,61]