Anastomotic leakage rate following modified double staple technique of anterior resection with vertical division of the rectum for rectal cancer surgery

Abstract

Introduction: Anastomotic leakage (AL) after double staple technique (DST) for rectal cancer surgery is a major complication. The aim of this study is to assess the usefulness of the modified double-stapling technique with vertical division of the rectum (IO-DST).

Comprehensive literature review of the outcome, modifications, and alternatives to double-stapled low pelvic colorectal anastomosis

“…Tsubaki et al 35 reproduced the same technique of vertical division of the rectum in 43 consecutive patients with rectal cancer. Most procedures were done via open surgery, and 14% of patients had a diverting ileostomy.…”

The Colorectal Anastomosis: A Timeless Challenge

“…Alternatively, the rectum may be divided vertically through the right lower quadrant port, a suprapubic port, the Pfannenstiel incision, or a miniature laparotomy. [88][89][90] This is often necessary when stapling deep in the pelvis for a low rectal transection. Curved linear cutting staplers or linear noncutting staplers may also be used with the open technique.…”