Single versus double stapling anastomotic technique in rectal cancer surgery

Radovanović, Zoran; Radovanović, Dragana; Breberina, Milan; Golubovic, A.; Lukic, Dejan

doi:10.1007/s00595-013-0646-x

Cited by 17 publications

(11 citation statements)

References 26 publications

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“…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%

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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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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%

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Robles

Young

2021

Ann Coloproctol

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“…Other risk factors may be a low preoperative serum albumin level (lower than 3.5 g/dL), steroid use, intraoperative blood loss of 200 mL or more, comorbidity, increased duration of surgery (operative time of 200 minutes or more) and/or intraoperative transfusion requirement [13]. No significant difference in the leakage rate between anastomosis created by single or double stapling technique was found by Radovanović et al in a randomized study [14].…”

Section: Discussionmentioning

confidence: 94%

Value of protective stoma in rectal cancer surgery

Fratrić

Radovanović

et al. 2016

Med pregl

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“…Preoperative chemotherapy and/or radiotherapy followed by surgery currently represents the standard approach for locally advanced rectal cancer, providing survival benefit for the patients compared to surgery alone. The most of the patients with complete or substantial regression of the tumors showed improved survival rates [3][4][5][6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Complete histopathological regression in rectal cancer after neoadjuvant chemoradiotherapy and sphincter preserving surgical treatment

et al. 2018

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Background/Aim. Multimodal approach to locally advanced rectal cancer treatment results in better disease outcome. Preoperative chemoradiotherapy improves disease local control, reduces risk of local recurrence and in the majority of patients with complete or substantial regression of the tumors significantly improves survival rates. According to the literature data, approximately 20% of patients had achieved complete histopathological response (pCR) after neoadjuvant chemoradiation therapy. The aim of this study was to evaluate overall survival in rectal cancer patients treated with preoperative chemoradiotherapy and sphincter preserving surgery. Methods. This retrospective study included 191 patients. Patients received preoperative radiation therapy and chemotherapy-chemoradiation therapy (CRT) followed by operation that favorized sphincter preservation with total mesorectal excision (TME) from June 2000 until December 2010. Diagnosis was established according to the following algorithm: patient history, digital rectal examiantion, colonoscopy with biopsy and histopathology verification, and preoperative clinical staging. Patients with tumors located below promontorium were included in the study and patients with metastatic disease and local recurrence were excluded from the study. For tumors located below the promontorium

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Single versus double stapling anastomotic technique in rectal cancer surgery

Cited by 17 publications

References 26 publications

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Value of protective stoma in rectal cancer surgery

Complete histopathological regression in rectal cancer after neoadjuvant chemoradiotherapy and sphincter preserving surgical treatment

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