Short-term functional outcome following elective surgery for complicated sigmoid diverticular disease: sutured or stapled end-to-end anastomosis to the proximal rectum?

Abstract

These retrospective data suggest for the first time in the reported literature that hand-sewn colonic anastomosis to the proximal rectum provides a better short-term functional outcome than stapled anastomosis following elective resectional surgery for complicated sigmoid diverticulosis.

Risk factors for colorectal anastomotic stenoses and their impact on quality of life: what are the lessons to learn?

“…Reviewing 116 patients with end-to-end colorectal anastomosis to the proximal rectum after elective resection for complicated sigmoid diverticular disease, Sielezneff et al [14] found more stenoses in the patients who had stapled anastomoses than in those who had handsewn ones. They concluded that hand-sewn colonic anastomosis to the proximal rectum leads to the best short-term functional outcome.…”

Laparoscopic intracorporal colorectal sutured anastomosis using the Radius Surgical System in a phantom model

“…The efficacy of stapled anastomosis has already been proven; however, stapling devices are expensive [15,21,26], are sometimes intraoperatively complicated by mechanical malfunction [13,15], and have a higher risk of anastomotic stenosis [22,29]. An extracorporal handsewn technique through a minilaparotomy has been used to perform colorectal anastomosis after sigmoid resection for diverticulitis, being proved to be safe and effective [26].…”

Η Επίδραση Της Ενδοπεριτοναϊκής Χορήγησης Ιρινοτεκάνης Και 5-Φλουορουρακίλης Στην Επούλωση Αναστομώσεων Παχέος Εντέρου Επίμυων

“…Η αιμορραγία από την αναστόμωση προέρχεται από το βλεννογόνο του παχέος εντέρου και εκδηλώνεται συνήθως κατά την άμεση μετεγχειρητική περίοδο. [153][154][155] Η επιπλοκή αυτή της αιμορραγίας εκδηλώνεται με την εμφάνιση μέλαινας κένωσης ή αιματοχεσίας. Αιμορραγία στην αναστόμωση μπορεί επίσης να προκληθεί μετά από ανάπτυξη έλκους στην αναστόμωση.…”