The ‘modified triple staple’ technique: A variant stapling technique for anastomosis after low anterior resection

Balaji, Natarajan; Macklin, Christopher P.; Fawole, S.; Aster, Asir; Rao, Vittal Sr; Moore, PJ; Ahmad, Saif

doi:10.1016/s1479-666x(07)80002-3

Cited by 3 publications

(5 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reports of increasing clinical experience also attest to the safety of stapling across a staple line. [2][3] The double-staple technique is currently the most widely performed technique in colorectal anastomoses [3,5,9]. It has been associated with a shorter operation time, minimal contamination, a lower rate of covering colostomy and the ability to create a very low anastomosis compared to a hand-sewn technique.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

“…A sound surgical technique is integral to optimizing post-operative outcomes and minimizing morbidity in colorectal surgery, especially anastomotic leakage. The reported clinical leakage rate after anterior resection varies from 3% to 20% [1][2][3]. Reports of the resulting morbidity and mortality vary considerably [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…The reported clinical leakage rate after anterior resection varies from 3% to 20% [1][2][3]. Reports of the resulting morbidity and mortality vary considerably [1][2][3]. Many risk factors are associated with anastomotic leakage and are categorized as patient-specific, intra-operative and specific for low rectal anastomosis.…”

Section: Introductionmentioning

confidence: 99%

“…Patient-specific risk factors include malnutrition, steroids, tobacco use, leukocytosis, cardiovascular disease, alcohol use and American Society of Anesthesiologists (ASA) score [4]. Other suggested factors that influence leakage rate are related to the technique used and the surgical expertise of the operator [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Robles

Young

2021

Ann Coloproctol

View full text Add to dashboard Cite

Purpose Stapled anastomotic techniques to the distal rectum have gained widespread acceptance due to their procedural advantages. Various modifications in the stapling techniques have evolved since their inception. The triple-staple technique utilizing stapled closure of both the proximal colon and distal rectal stump provides a rapid and secure colorectal anastomosis. The aims of this study are to determine the safety and efficacy of the triple-staple technique, and to compare the clinical outcomes with a historical control group for which the conventional double-staple technique had been performed. Methods One hundred consecutive patients operated on by a single surgeon were included, 50 patients who underwent double-staple (DSA), then 50 triple-staple anastomoses (TSA). Results The most common indication for surgery in both groups was rectal cancer followed by diverticular disease and distal sigmoid cancer. There was no significant difference in the number of covering loop ileostomy formation in both groups (TSA 56% vs DSA 68%; p=0.621). The mean operating time for the TSA group was significantly shorter compared to the DSA group (243 vs 306 minutes; p=0.001). There was no significant difference in complication rates (TSA 40% vs DSA 50%; p=0.315) and length of hospital stay between the two groups (TSA 11.3 vs DSA 13.0 days, p=0.246). Post-operative complications included anastomotic leak, prolonged ileus, bleeding, wound infection and pelvic collection. Conclusion The triple-staple technique is a safe alternative to the double-staple anastomosis after anterior resection. It also effectively shortens the operating time.

show abstract

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Robles

Young

2021

Ann Coloproctol

View full text Add to dashboard Cite

show abstract

“…To the best of my knowledge, TSA in colorectal anastomosis was introduced in 1989 [8]. Subsequently, only a few studies on similar technical methods have been reported [9,10].…”

mentioning

confidence: 99%

Effort to Improve Rectal Anastomosis: the Triple-Stapled Technique for Rectal Anastomosis

Kang

2021

Ann Coloproctol

View full text Add to dashboard Cite

Estimated Rate of Post-Operative Anastomotic Leak Following Colorectal Resection Surgery: A Systematic Review

Schiff¹,

Brady²,

Ghosh³

et al. 2016

J Surg Surgical Res

View full text Add to dashboard Cite

Purpose: Anastomotic leak following colorectal resection surgery is associated with short and long-term negative patient outcomes, prolonged hospitalization, and increased healthcare costs. Various patient related and surgical factors are known to contribute to the development of postoperative anastomotic leaks. This study systematically reviewed the literature to assess the incidence of post-operative leak and identify patient factors associated with the development of leaks. Methods:Articles published from 1/1/2003 -8/8/2015 reporting on post-operative anastomotic leak following colorectal resection surgery were identified in the Medline and Embase databases. The rate of post-operative leak, as well as patient and surgical characteristics, were extracted.Results: Forty-three articles met study inclusion criteria. Within the 14,102 cases, 867 patients experienced anastomotic leak, yielding an average leak rate of 6.1%. Patients were primarily male (57.0%) and had a mean age of 60.2 years. The majority of patients received a stapled anastomosis (70.9%), and most resection surgeries were performed for a diagnosis of cancer (80.7%). Comparison of patient characteristics with and without a post-operative leak revealed male gender, diabetes, open surgical procedures, and sutured anastomoses to be risk factors of anastomotic leak. Patients with anastomotic leak had a longer length of stay in the hospital and higher mortality rate than patients without a leak. Conclusions:Anastomotic leak remains a major concern in colorectal resection surgery and occurs in approximately 6.1% of cases. Both patient and surgical factors are associated with the development of post-operative anastomotic leak, which is linked to negative patient outcomes and increased mortality.

show abstract

The ‘modified triple staple’ technique: A variant stapling technique for anastomosis after low anterior resection

Cited by 3 publications

References 11 publications

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis

Effort to Improve Rectal Anastomosis: the Triple-Stapled Technique for Rectal Anastomosis

Estimated Rate of Post-Operative Anastomotic Leak Following Colorectal Resection Surgery: A Systematic Review

Contact Info

Product

Resources

About