Single vs. double stapling technique in colorectal surgery

Abstract

Seventy patients after rectosigmoid resection were randomized to a rectal anastomosis either in the single or double stapling technique. There was no statistically significant difference between the two groups. A trend in favor of the double stapling technique was noted: 2.8 percent clinical leaks vs. 8.6 percent in the single stapling technique.

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

“…Identical complications have been reported after SST and conventional DST, both with and without colostomy. 17,18 Thus, comparatively few complications occurred after IO-DST, without any mortality, in the present study. Local recurrence after conventional DST was reported in 4 (9.3%) of 43 patients by Griffen et al 12 and in 15 (9.1%) of 166 patients by Laxamana et al 16 The local recurrence rate after IO-DST of 6.7% was similar to that after conventional DST.…”

Long-term results show triple stapling facilitates safe low colorectal and coloanal anastomosis and is associated with low rates of local recurrence after anterior resection for rectal cancer

“…Only one randomised prospective study has compared DS with conventional manual purse-string [7]. The difference between the two, in the small series of 70 patients, did not reach statistical significance, but a clear trend was apparent toward less leakage after DS.…”

Anastomotic integrity and function: Role of the colonic J-pouch

“…Pelvic abscess is usually the result of an anastomotic leak. Even though there have been few studies which have directly compared the anastomotic complication rate between the two groups, the reported anastomotic complication rates in the colo-anal anastomosis group range from 9.7% to 20% [70,72,74,76,83,86,88], and from 1.2% to 10.5% [1,6,8,56,90,91] in the colonic J-pouch group, showing a trend towards superiority in the latter setting. Hallbook and Sjodahl [74] reported a randomized trial comparing coloanal anastomosis to colonic J-pouch.…”