New Anastomosis Technique to Prevent Anastomotic Leakage in Laparoscopic Anterior Resection for Rectal Cancer, Especially Upper Rectal Cancer

Overview

Journal In Vivo

Specialty Oncology

Date 2020 Nov 4

PMID 33144464

Citations 4

Authors

Koji Ando

Naotaka Kuriyama

Yoshiaki Fujimoto

Tomoko Jogo

Kentaro Hokonohara

Qingjiang Hu

Yuichi Hisamatsu

Ryota Nakanishi

Yuichiro Nakashima

Yasue Kimura

Eiji Oki

Masaki Mori

Affiliations

Soon will be listed here.

Abstract

Background/aim: Anastomotic leakage (AL) is a major problem in rectal cancer surgery. To prevent AL, we developed a side-to-side anastomosis technique using a circular stapler and termed it the circular side stapling technique (CST). We herein report the method and outcome of the CST.

Patients And Methods: In this study, we analyzed 154 patients with stage 0 to III rectal cancer who underwent curative laparoscopic low anterior resection. Perioperative factors and complications were compared between the CST and usual double stapling technique (DST).

Results: The CST was performed in 110 of the 154 patients. When comparing the outcomes of patients with upper rectal cancer. AL occurred in no patients in the CST group and in three patients in the DST group (p=0.011). The CST prevented AL in all patients with upper rectal cancer.

Conclusion: The CST is a safe and useful procedure in laparoscopic anterior resection. This technique can prevent AL, especially in patients with upper rectal cancer.

Citing Articles

Suspension and suturing technique can reduce the incidence of anastomotic leakage after rectal cancer excision: a single, prospective, cohort study.

Ge W, Shao L, Chen G, Qiu Y Sci Rep. 2024; 14(1):29197.

PMID: 39587181 PMC: 11589827. DOI: 10.1038/s41598-024-79800-6.

The Effect of Multifaceted Anastomotic Leakage Prevention ICG and SST for Lower Rectal Anastomosis.

Ryu S, Imaizumi Y, Goto K, Iwauchi S, Kobayashi T, Ito R In Vivo. 2024; 38(6):2973-2980.

PMID: 39477414 PMC: 11535921. DOI: 10.21873/invivo.13780.

Impact of Circular Stapler Size on the Risk of Anastomotic Complications in Patients With Left-sided Colorectal Cancer: A Propensity Score-matched Study.

Shibutani M, Fukuoka T, Iseki Y, Kasashima H, Seki Y, Maeda K Cancer Diagn Progn. 2024; 4(4):510-514.

PMID: 38962541 PMC: 11215444. DOI: 10.21873/cdp.10356.

Clinical impact of the triple-layered circular stapler for reducing the anastomotic leakage in rectal cancer surgery: Porcine model and multicenter retrospective cohort analysis.

Nakanishi R, Fujimoto Y, Sugiyama M, Hisamatsu Y, Nakanoko T, Ando K Ann Gastroenterol Surg. 2022; 6(2):256-264.

PMID: 35261951 PMC: 8889859. DOI: 10.1002/ags3.12516.

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