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Published in:

01-04-2013

Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection

Authors: Jeonghyun Kang, Han Beom Lee, Jang Ho Cha, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim, Seung Kook Sohn, Kang Young Lee

Published in: Journal of Gastrointestinal Surgery | Issue 4/2013

Abstract

Background

Anastomotic leakage is a major cause of postoperative morbidity and mortality in the treatment of colorectal cancer. The aim of this study was to investigate the modified double-stapling technique (MDST), as an alternative for conventional double-stapling technique (DST), and whether it could reduce the anastomotic leakage rate in laparoscopic anterior resection (Lapa-AR).

Study Design

Between March 2009 and October 2010, a total of 189 patients who underwent Lapa-AR for the treatment of adenocarcinoma of the sigmoid colon or rectosigmoid colon were divided into the MDST group (n = 95) and the DST group (n = 94) according to the anastomotic technique. Data were analyzed retrospectively. Morbidity and anastomotic leakage rate were compared between the two groups.

Results

Patient demographics, preoperative comorbidity, tumor size, stage, and operative details were comparable between the two groups. There was no difference in operation time between the two groups. The overall complication rate was significantly lower in the MDST group than in the DST group (3.2 vs. 10.6 %, p = 0.042), including anastomotic leakage rate (0 vs.4.6 %, p = 0.029). The anastomotic technique was the only factor associated with anastomotic leakage in univariate analysis.

Conclusions

Our comparative study demonstrates MDST to have better short-term outcome in reducing anastomotic leakage compared with DST. This technique could be an alternative approach to maximize the patients' benefit in laparoscopic anterior resection.

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Title: Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection
Authors: Jeonghyun Kang
Han Beom Lee
Jang Ho Cha
Hyuk Hur
Byung Soh Min
Seung Hyuk Baik
Nam Kyu Kim
Seung Kook Sohn
Kang Young Lee
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 4/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-2122-0

At a glance: The STEP trials

Springer Medicine

Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection

Abstract

Background

Study Design

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Study Design

Results

Conclusions

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