Modified Double-Stapling Technique in Low Anterior Resection for Lower Rectal Carcinoma

Sato, Harunobu; Maeda, Koutarou; Hanai, Taizo; Matsumoto, Masahisa; Aoyama, H.; Matsuoka, Hiroshi

doi:10.1007/s00595-005-3088-2

Cited by 17 publications

(13 citation statements)

References 17 publications

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“…Only one case (2.3%) was found to occur AL in this study. It was almost the same rate of the previous report of Dr. Sato [9] and was better than the report of Dr. Ito [6].…”

Section: Discussionsupporting

confidence: 78%

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

Tsubaki¹,

Suzuki²,

Adachi³

et al. 2017

Gastroenterol Hepatol Endosc

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“…Only one case (2.3%) was found to occur AL in this study. It was almost the same rate of the previous report of Dr. Sato [9] and was better than the report of Dr. Ito [6].…”

Section: Discussionsupporting

confidence: 78%

“…The rectum was divided vertically when IO-DST was performed. AL rate following this technique was reported to occur 2.9% of patients by Sato [9]. According to this report, AL rate of consecutive eighty cases of rectal tumor performed by IO-DST was 7.5% in my previous study [2].…”

Section: Discussionmentioning

confidence: 78%

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

Tsubaki¹,

Suzuki²,

Adachi³

et al. 2017

Gastroenterol Hepatol Endosc

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“…On the other hand, laparoscopic ULAR with RSST can be completed quickly and allows simple and safe anastomosis. The single stapling technique is not indicated for tumors within 6 cm from the anal verge [3,11], partly due to difficulty in placing a purse-string suture on the cut stump of the distal rectum. In this regard, RSST is a single stapling technique, but allows a purse-string suture to be placed transanally at the stump of the distal rectum.…”

Section: Discussionmentioning

confidence: 99%

“…There are two kinds of DST procedures: the first is the original DST, which is a horizontal transection of the rectum followed by anastomosis with a circular stapler [1,2]; the other is modified DST, which is a vertical transection of the rectum followed by anastomosis with a circular stapler [3,4,5]. In laparoscopic anterior resection, the former is mainly performed for tumors >6 cm from the anal verge.…”

Section: Introductionmentioning

confidence: 99%

“…In laparoscopic anterior resection, the former is mainly performed for tumors >6 cm from the anal verge. The latter can be performed for tumors 4–6 cm from the anal verge [3]. As the laparoscopic stapler does not allow low rectal transection without sufficient distal margins, ultralow anterior resection (ULAR) with a stapler is not available for laparoscopic surgery [6].…”

Section: Introductionmentioning

confidence: 99%

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Retrograde Single Stapling Technique for Laparoscopic Ultralow Anterior Resection

Kawahara

Watanabe²,

Ushigome³

et al. 2010

Dig Surg

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A highly effective surgical technique is required for laparoscopic low rectal transection without sufficient distal margins when ultralow anterior resection (ULAR) with a stapler is a technical challenge for laparoscopic surgery. We report a retrograde single stapling technique (RSST) for laparoscopic ULAR. Total mesorectal excision is performed laparoscopically. After the anal side of the tumor has been closed transanally, the distal line in the right lateral wall of the rectum is partially transected with laparoscopic coagulation shears (LCS). The distal line in the rectum is transected circularly with LCS after detecting the cutting part in the right lateral wall of the rectum laparoscopically. The end of the distal rectum is closed by a purse-string suture using 2-0 prolene transanally. Intestinal resection is performed extracorporeally through a suprapubic incision. After an anvil is placed in the proximal end of the colon over a purse-string suture, it is introduced to the anal canal transabdominally. The purse-string suture is tied to the anvil shaft before connecting it to the center shaft of the circular stapler; the instrument is then fired to create end-to-end anastomosis. For the prevention of anastomotic leakage, a 24-french balloon catheter which decompresses the anastomosis is inserted through the anus.

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Major Resections in Rectal Cancer

Vîlcea

Mirea

2020

Multidisciplinary Treatment of Colorectal Cancer

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Modified Double-Stapling Technique in Low Anterior Resection for Lower Rectal Carcinoma

Abstract: IO-DST is a feasible and safe procedure for performing low anastomosis, which results in less bowel frequency after LAR for lower rectal carcinoma.

Cited by 17 publications

References 17 publications

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

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

Retrograde Single Stapling Technique for Laparoscopic Ultralow Anterior Resection

Major Resections in Rectal Cancer

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