EEA stapler in low anterior anastomosis

Diseases of the Colon and Rectum
M VezeridisE J Ledesma

Abstract

Preservation of the anal sphincter is a goal of all surgeons treating colorectal malignancies. In the hands of many, transsacral and low anterior resections with end-to-end anastomosis have been associated with high morbidity and leakage. The EEA stapler represents an alternative in re-establishing bowel continuity. Fifty-eight patients with adenocarcinoma of the rectum were treated over a three-year period at Roswell Park Memorial Institute. Forty-nine procedures judged to be curative and nine, palliative. All patients had an EEA stapler introduced through the anus. No protective colostomies were needed. No case of clinically significant anastomotic leakage was seen. Minor spotting or bleeding was documented, but no patient required blood transfusions. Two patients developed constipation; 16 patients had temporary soiling, two had prolonged soiling. Frank incontinence was not observed. The EEA stapler is an evolutionary instrument derived from the Russian PKS model. It is safe, reliable, and simple to operate. With adequate training of the surgeon, precious time can be saved. Intraoperative sigmoidoscopies, as well as postoperative barium enema examinations, were not needed. Gaps in the stapled anastomotic line (when present) ...Continue Reading

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Related Concepts

Carcinoma, Cribriform
Colectomy
Taenia Coli
Colonoscopic Surgical Procedures
Colostomy Procedure
Rectal Carcinoma
Rectum
Sigmoidoscopic Surgical Procedures
Surgical Staplers

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