Nomogram for benign anastomotic stricture after surgery for rectal cancer

Hu, Xuhua; Guo, Peiyuan; Zhang, Ning; Guo, Ganlin; Li, Baokun; Liu, Youqiang; Niu, Jian; Wang, Guiying

doi:10.1016/j.asjsur.2022.01.045

Cited by 10 publications

(11 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[7][8][9]11 The results of this study corroborate findings from previous studies indicating that even though there is a correlation between stapler size and stricture in upper gastrointestinal tract, there is no correlation in lower GI. 1,3,8,9,14,15 Nagaoka et al Comparing 29-and 31-mm circular staplers revealed that stapler size was not a significant predictor of stricture development. 15 Hu et al 9 and Polese et al 3 explored the risk factors for colorectal anastomotic stricture.…”

Section: Resultssupporting

confidence: 90%

“…1,3,8,9,14,15 Nagaoka et al Comparing 29-and 31-mm circular staplers revealed that stapler size was not a significant predictor of stricture development. 15 Hu et al 9 and Polese et al 3 explored the risk factors for colorectal anastomotic stricture. They observed no significant associations between stapler size and anastomotic strictures.…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, studies on the IPAA have revealed that smaller stapler sizes are associated with a higher but insignificant stricture rate. In rectal cancer surgery, these studies are limited, yielding inconsistent results 7–9,11 …”

Section: Discussionmentioning

confidence: 99%

“…In lower GI tract surgery, the stapler size in ileal pouch‐anal anastomoses (IPAA) has been studied, revealing that smaller stapler sizes are associated with higher but insignificant stricture rates. In rectal cancer surgery, these studies are scarce, yielding inconsistent results 7–9,11 . Considering the prevalence and clinical significance of anastomosis‐related complications, identifying risk factors associated with anastomotic outcomes seems necessary.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultssupporting

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

show abstract

“…Dixon surgery, also known as transabdominal radical resection of rectal cancer, belongs to the category of low anterior resection of the rectum and is the most frequently employed radical resection surgery for rectal cancer, primarily suitable for tumors located ≥6 cm from the anal margin ( 4 ). Anastomotic stenosis is a common complication of Dixon surgery for rectal cancer ( 5 ), which can be classified as membranous or tubular stenosis. The incidence of anastomotic stenosis following colorectal stapling surgery ranges between 3-30%, which is challenging to manage using conventional approaches (e.g., open surgery and colonoscopy) ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Treatment of rectal anastomotic atresia with transurethral prostate resection instrumentation: A report of three cases

Hu,

Qin,

Wei

et al. 2024

Exp Ther Med

View full text Add to dashboard Cite

Dixon surgery for rectal cancer can lead to severe intestinal narrowing and blockage that is difficult to treat with open surgery or colonoscopy. The aim of the present study was to develop a minimally invasive approach for treating rectal anastomotic atresia based on three cases that were managed with transurethral prostate resection instrumentation. Preoperative imaging determined the distance from the anastomotic closure to the anal margin, the length of the anastomotic closure and the degree of proximal intestinal dilation for all cases. During the procedure, the anastomotic site was visualized, and a circular electrode was used to excavate and open the blockage. Membrane-like closures were directly incised to achieve satisfactory results, with an anastomotic diameter >20 mm. Those cases with tubular atresia required an initial incision using the prostate resectoscope to relieve the obstruction, followed by radial incisions until achieving an anastomotic diameter >20 mm. At 3-6 months post-dilation, two of the patients with anastomotic atresia >20 mm had satisfactory bowel movements, whereas the remaining patient experienced tumor recurrence at the anastomotic site and discontinued treatment. This case series demonstrates the potential of transurethral prostate resection instrumentation as a safe and effective minimally invasive approach for rectal anastomotic atresia. Given that prostate resection instrumentation is readily available in hospitals in China, this approach is widely accessible to most patients. Furthermore, the technique leverages existing surgical technology and practices, requiring only a shift in the surgical site.

show abstract

Defunctioning stoma and anastomotic stricture in rectal cancer surgery: a propensity score matching study

Wang,

Wang

et al. 2023

Langenbecks Arch Surg

View full text Add to dashboard Cite

Nomogram for benign anastomotic stricture after surgery for rectal cancer

Cited by 10 publications

References 26 publications

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

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

Treatment of rectal anastomotic atresia with transurethral prostate resection instrumentation: A report of three cases

Defunctioning stoma and anastomotic stricture in rectal cancer surgery: a propensity score matching study

Contact Info

Product

Resources

About