Long-term Evaluation of a Modified Double Staple Technique for Low Anterior Resection

Carboni, Fabio; Ceccanei, Gianluca; Pacilè, Maria Antonietta; Pizzardi, Giulia; Palumbo, Piergaspare; Vietri, F

doi:10.1080/00015458.2014.11681038

Cited by 7 publications

(18 citation statements)

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“…Illuminati reported his results using DSA in 108 patients with carcinoma of the rectum and found a leak rate of 6% [5]. Meanwhile, Redmond reported a leak rate of 9% and…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 98%

“…Reports of increasing clinical experience also attest to the safety of stapling across a staple line. [2][3] The double-staple technique is currently the most widely performed technique in colorectal anastomoses [3,5,9]. It has been associated with a shorter operation time, minimal contamination, a lower rate of covering colostomy and the ability to create a very low anastomosis compared to a hand-sewn technique.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

“…This translates to sphincter-saving surgery and permanent stoma avoidance. Double-staple anastomoses have, however, also been associated with anastomotic stenosis varying between 3-21% and the risk of pelvic sepsis due to fecal contamination [3,5,9]. The use of a purse-string suture on the proximal colon poses a contamination risk upon opening of the bowel lumen.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

“…Various modifications in the application of the stapling techniques have evolved since its inception. The double-staple technique is now the most widely performed procedure, which facilitates colorectal anastomoses at a lower level, minimizing the potential risk of fecal contamination [5][6]. The triple-staple technique utilizing stapled closure of both the proximal colon and distal rectal stump, holds the potential for a more rapid and secure colorectal anastomosis.…”

Section: Introductionmentioning

confidence: 99%

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Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Robles

Young

2021

Ann Coloproctol

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Purpose Stapled anastomotic techniques to the distal rectum have gained widespread acceptance due to their procedural advantages. Various modifications in the stapling techniques have evolved since their inception. The triple-staple technique utilizing stapled closure of both the proximal colon and distal rectal stump provides a rapid and secure colorectal anastomosis. The aims of this study are to determine the safety and efficacy of the triple-staple technique, and to compare the clinical outcomes with a historical control group for which the conventional double-staple technique had been performed. Methods One hundred consecutive patients operated on by a single surgeon were included, 50 patients who underwent double-staple (DSA), then 50 triple-staple anastomoses (TSA). Results The most common indication for surgery in both groups was rectal cancer followed by diverticular disease and distal sigmoid cancer. There was no significant difference in the number of covering loop ileostomy formation in both groups (TSA 56% vs DSA 68%; p=0.621). The mean operating time for the TSA group was significantly shorter compared to the DSA group (243 vs 306 minutes; p=0.001). There was no significant difference in complication rates (TSA 40% vs DSA 50%; p=0.315) and length of hospital stay between the two groups (TSA 11.3 vs DSA 13.0 days, p=0.246). Post-operative complications included anastomotic leak, prolonged ileus, bleeding, wound infection and pelvic collection. Conclusion The triple-staple technique is a safe alternative to the double-staple anastomosis after anterior resection. It also effectively shortens the operating time.

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“…Illuminati reported his results using DSA in 108 patients with carcinoma of the rectum and found a leak rate of 6% [5]. Meanwhile, Redmond reported a leak rate of 9% and…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 98%

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Robles

Young

2021

Ann Coloproctol

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show abstract

“…Most stapled anastomosis after colorectal resection are performed using double-stapled anastomosis (DSA), in which the rectal stump is closed with a linear stapler followed by colorectal anastomosis with a circular stapler [4][5][6]. During DSA, the end of the proximal colon is opened and the anvil of the stapler is inserted into the proximal colon, followed by open-end closure via the purse-string suture method.…”

mentioning

confidence: 99%

Effort to Improve Rectal Anastomosis: the Triple-Stapled Technique for Rectal Anastomosis

Kang

2021

Ann Coloproctol

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Postoperative complications after deep bowel endometriosis surgery: is the surgical technique the only one to blame?

Parra

Feitosa

Féres

2020

Arch Gynecol Obstet

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Long-term Evaluation of a Modified Double Staple Technique for Low Anterior Resection

Cited by 7 publications

References 0 publications

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Effort to Improve Rectal Anastomosis: the Triple-Stapled Technique for Rectal Anastomosis

Postoperative complications after deep bowel endometriosis surgery: is the surgical technique the only one to blame?

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