A New Device for the Treatment of Coloproctostomic Stricture after Double Stapling Anastomoses

Shimada, Shinya; Matsuda, Masakazu; Uno, Keisuke; Matsuzaki, Hiromitsu; Murakami, Seiichi; Ogawa, Michio

doi:10.1097/00000658-199611000-00004

Cited by 39 publications

(54 citation statements)

References 21 publications

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“…The incidence of primary and technique-related complications of stapling anastomosis is reportedly between 2.4-32 % (Smith, 1981;Thiede et al, 1981;Ti et al, 1986;Petrassi et al, 1994;Shimada et al, 1996;De Salvo et al, 1997;Yu et al, 2000;Brigand et al, 2004;Pan et al, 2004;Ambrosetti et al, 2008;Sciume et al, 2008). In 1994, Fingerhut showed in a randomised clinical study that stapled anastomosis has four times more risk of stricture than hand sewn's.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of stenosis has been reported, however no certain risk factor has been clarified (Stahle et al, 1986;Shimada et al, 1996;Ambrosetti et al, 2008;). Gender (Bannura et al, 2004), ischemia, radiation and defunctionalisation (McKee and Pricolo, 2008), anastomotic leakage (Thiede et al, 1981;McKee and Pricolo, 2008) have been proposed as risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…If sufficient dilatation can not be accomplished by finger or dilatator, other methods including hydrostatic dilatation, transanal incision, and restapling may be helpful (Araki et al, 2002). Shimada (1996) reported an 89 % success rate after partial anastomotic resection utilizing a cutter stapler. Kato (1997) stressed that Nd:YAG laser is effective in the treatment of postoperative rectal stenosis.…”

Section: Discussionmentioning

confidence: 99%

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Retrospective Analysis Of Rectal Stenosis After Anterior Resections With Or Without Stapling: Rectal Stapling Is Not A “Thornless Rosary

Erzurumlu¹,

MALAZGİRT²,

ULUSOY³

et al. 2010

jecm

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Recently, stapler anastomosis is the method of choice in low or ultra low resection for rectal carcinoma. In this study, risk of rectal stricture formation after double stapling colorectal anastomosis was evaluated. We here with presented an invitro investigation and a retrospective analysis of 91 cases of rectal carcinoma treated by low or ultra low anterior resection with hand-sewn or double-stapled colorectal anastomosis between the years 2002-2006 regarding the late complication of postoperative stenosis. In in vitro investigation external and internal diameters of staplers were measured. Also diameters of anastomotic lines were investigated on stapled sheep intestine and low anterior resection specimen of human, in vitro. External and internal diameters of 29 and 33 mm staplers were found 19.5-24 mm respectively. Also diameters of anastomosis with 29 mm stapler at sheep intestine and 33 mm stapler at low anterior specimen were found 15 mm, 20 mm respectively.Rectal stricture was not seen in any of the patients with hand-sewn anastomoses. We found postoperative stricture of the rectal anastomosis in 11 (17.2 %) of the patients treated by double-stapled group (p=0.022). The risk factors that we have investigated were age and gender of the patient, location and stage of the tumour, diameter of EEA staplers, and presence of neoadjuvant or adjuvant chemoradiotherapy. Although double-stapling anastomosis in rectal cancers has clear technical advantages over hand-sewn technique, the late complication of stenosis occurred at a significantly higher rate after this technique

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Retrospective Analysis Of Rectal Stenosis After Anterior Resections With Or Without Stapling: Rectal Stapling Is Not A “Thornless Rosary

Erzurumlu¹,

MALAZGİRT²,

ULUSOY³

et al. 2010

jecm

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“…In recent series (Kumar et al, 2011), 22.9% developed strictures after stapled anastomosis, which is higher than the 13.3% developed after hand-sewn anastomosis; however, it was not statistically significant. In our previous study (Shimada et al, 1996), thirty patients with the double stapling coloproctoanastomosis were followed up for six to 24 months in detail and the stricture rate was 30%, suggesting high frequent postoperative complication after coloprostomotic anastomosis by using the double stapling technique. The rectal stricture was defined as the inability to pass a 12.3 mm sigmoidscope (CF-P 20S, OLYMPUS, Tokyo, Japan) through the stenosis.…”

Section: Incidence and Risk Factors Of Stricture After Circular Staplmentioning

confidence: 94%

“…Thus, a new device of "staple cutter (STENO-CUTTER TM )" was developed to split the circular staple line in the stricture (Shimada et al, 1996). In the present manuscript, incidence and factors of the stricture, development of this new device of STENO-CUTTER TM for the treatment of the stricture, and the clinical effects and advantages is reviewed.…”

mentioning

confidence: 99%

Treatment of Colorectal Stricture After Circular Stapling Anastomoses

Shimada¹,

Kuramoto²,

Matsuo³

et al. 2012

Current Concepts in Colonic Disorders

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The impact of circular stapler size on the risk of anastomotic stricture following total mesorectal excision in rectal cancer patients: A retrospective cross‐sectional study

Behboudi,

Ahmadi‐Tafti,

Hosseini

et al. 2023

Health Science Reports

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IntroductionColorectal cancer (CRC) surgery complications are a major issue affecting morbidity and mortality rates. Anastomotic stricture, which occurs in almost 30% of patients after surgery for rectal cancer, is one of the most serious but underreported side effects. In this study, we tried to assess the effect of stapler size on anastomotic stricture rate.Materials and MethodsAt our facility, all patients underwent low anterior resections (LAR) performed using an open laparotomy technique. A contour‐curved stapler and an end‐to‐end anastomosis (EEA) circular stapler were used in the double stapling technique (DST). All patients also underwent a protective loop ileostomy. Patients who developed stricture following leakage were excluded.ResultsThis study comprised a total of 173 rectal cancer patients. A 29‐mm circle stapler was used to anastomose 77 patients (44.5%), while a 31‐mm circular stapler was used to anastomose 96 patients (55.5%). Six individuals experienced strictures; two had a 29 mm stamper and four (4.4%) had a 31 mm one. There was no significant difference between the two groups (p:0.575). On aggregate, 8 patients experienced leakage; 3 (3.8%) of these patients received treatment with a 29 mm stapler, whereas 5 (5.2%) received treatment with a 31 mm stapler.Conclusionthis study found no statistically significant difference in the stricture rates and stapler size. The findings of this study provide credibility to the notion that in rectal cancer patients having LAR, strictures can be safely avoided by performing the anastomoses with both staplers.

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A New Device for the Treatment of Coloproctostomic Stricture after Double Stapling Anastomoses

Abstract: From the significant effects and advantages, the procedure using staple cutter is recommended highly for the treatment of circular stapling anastomotic stricture of the rectum.

Cited by 39 publications

References 21 publications

Retrospective Analysis Of Rectal Stenosis After Anterior Resections With Or Without Stapling: Rectal Stapling Is Not A “Thornless Rosary

Retrospective Analysis Of Rectal Stenosis After Anterior Resections With Or Without Stapling: Rectal Stapling Is Not A “Thornless Rosary

Treatment of Colorectal Stricture After Circular Stapling Anastomoses

The impact of circular stapler size on the risk of anastomotic stricture following total mesorectal excision in rectal cancer patients: A retrospective cross‐sectional study

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