Colorectal stapled anastomoses. Experiences and results

Diseases of the Colon and Rectum
O HansenW Stock

Abstract

Stapled anastomoses are currently an established technique in colorectal surgery. Larger series about the use of circular staplers in rectal anastomoses within daily clinical routine are rare. We evaluated the morbidity, clinical leakage rate, and mortality in an unselected population of a teaching hospital after elective, left-sided colorectal resections with stapled rectal anastomoses. In the course of our study, manually sewn rectal anastomoses were not performed. All anastomoses were tested intraoperatively by instillation of liquid. A total of 615 elective colorectal resections with stapled rectal anastomoses was performed by 18 surgeons from 1984 to 1993. A protective colostomy was created in 2.9 percent (n=16) of all patients. Clinical anastomotic leakage occurred in nine patients (1.5 percent). The mortality rate was 1 percent (n=6). Use of the stapling technique facilitates the performance of anastomoses, particularly in regions with difficult anatomy. The rate of local complications is low, and protective colostomy can thus be dispensed with in most cases

References

Jul 1, 1992·Diseases of the Colon and Rectum·S Kyzer, P H Gordon
Feb 1, 1991·The British Journal of Surgery·N D KaranjiaR J Heald
Mar 1, 1991·The British Journal of Surgery·A R DixonJ T Holmes
Oct 1, 1990·The British Journal of Surgery·J D BeardN W Everson
Aug 1, 1990·The British Journal of Surgery·J S VarmaA K Li
Dec 1, 1988·The Surgical Clinics of North America·V W Fazio
Jan 1, 1988·Scandinavian Journal of Gastroenterology. Supplement·K E GierckskyA Revhaug
May 1, 1986·The British Journal of Surgery·W G EverettJ Forty
Jul 1, 1986·American Journal of Surgery·M L TrollopeR D Cressman
Feb 1, 1985·Diseases of the Colon and Rectum·R M Steinhagen, F L Weakley
Aug 1, 1985·The British Journal of Surgery·F P McGinnF J Brunton
Jul 1, 1985·American Journal of Surgery·A G GreenburgD Pridham
Jun 1, 1984·The Surgical Clinics of North America·P H Gordon, C A Vasilevsky
Dec 1, 1982·The British Journal of Surgery·S S BrennanA V Pollock
Jan 1, 1983·Diseases of the Colon and Rectum·F BozzettiL Gennari
Mar 1, 1983·Diseases of the Colon and Rectum·H L KennedyJ L Schottler
Jan 1, 1981·American Journal of Surgery·R W Beart, K A Kelly
May 1, 1981·Diseases of the Colon and Rectum·L E Smith
Sep 1, 1993·International Journal of Colorectal Disease·H KesslerH Wiebelt

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Citations

May 2, 2000·Diseases of the Colon and Rectum·R M RoumenF A Croiset van Uchelen
Oct 18, 2005·Diseases of the Colon and Rectum·Arne E FaerdenArne Bakka
Aug 10, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yoshihiro SakamotoTomoo Kosuge
Jul 6, 2000·American Journal of Surgery·S BenoistP Valleur
Sep 27, 2000·American Journal of Surgery·C A Maxwell-ArmstrongJ H Scholefield
Sep 13, 2003·Fertility and Sterility·Pierre-Henri CommunalDaniel Raudrant
Nov 21, 2000·Journal of the American College of Surgeons·N H BoyleR C Mason
Apr 8, 1998·The British Journal of Surgery·E RullierM Parneix
Aug 10, 2000·The British Journal of Surgery·C Wullstein, E Gross
Jan 25, 2007·Annals of Surgery·Neil HymanPeter A Cataldo
Jul 9, 2008·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Amir Szold
Feb 27, 2009·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·N H Hyman
Feb 21, 2009·Journal of the American College of Surgeons·Neil H HymanSteven R Shackford
Jun 23, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J FolkessonU Gunnarsson
Mar 23, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S-B LimJ-G Park
Nov 18, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D-W KimJ-G Park
Jul 30, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M S AbraoJ A Dias
Mar 28, 2008·American Journal of Surgery·Orit Kaidar-PersonBenjamin Person
Feb 18, 2006·ANZ Journal of Surgery·Peter WahlJean-Claude Givel
Jun 8, 1999·The Journal of Surgical Research·S G FukuchiR H Rolandelli
May 31, 2008·International Journal of Surgery·Erhan AysanMurat Alkan
Jun 7, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·I SielezneffB Sastre
Feb 20, 2008·World Journal of Surgery·R PhitayakornUNKNOWN International Anastomotic Leak Study Group
Apr 23, 2003·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R VeldkampH J Bonjer
Sep 26, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yoshihiro SakamotoTomoo Kosuge
May 12, 2006·World Journal of Gastroenterology : WJG·Mohammad U NasirkhanRobert Kozol

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