scholarly journals Laparoscopic-assisted anterior resection with double-stapling technique anastomosis: safe and feasible for lower rectal cancer?

2008 ◽  
Vol 23 (10) ◽  
pp. 2197-2202 ◽  
Author(s):  
Hiroya Kuroyanagi ◽  
Takashi Akiyoshi ◽  
Masatoshi Oya ◽  
Yoshiya Fujimoto ◽  
Masashi Ueno ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Lower Rectal Cancer ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling ◽  
Laparoscopic Assisted

The intentional oblique transection double stapling technique in anterior resection for rectal cancer

Surgery Today ◽  
2016 ◽  
Vol 47 (4) ◽  
pp. 525-528
Author(s):  
Masafumi Kuramoto ◽  
Satoshi Ikeshima ◽  
Kenichiro Yamamoto ◽  
Keisuke Morita ◽  
Tomoyuki Uchihara ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

scholarly journals The Use of a Circular Side Stapling Technique in Laparoscopic Low Anterior Resection for Rectal Cancer: Experience of 30 Serial Cases

2015 ◽  
Vol 100 (6) ◽  
pp. 979-983 ◽  
Author(s):  
Eiji Oki ◽  
Koji Ando ◽  
Hiroshi Saeki ◽  
Yuichiro Nakashima ◽  
Yasue Kimura ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Operating Time ◽  
Colorectal Anastomosis ◽  
Rectal Surgery ◽  
Linear Stapler ◽  
Stapling Technique ◽  
Double Stapling ◽  
Laparoscopic Assisted

The double-stapling technique using a circular stapler (CS) to create an end-to-end anastomosis is currently used widely in laparoscopic-assisted rectal surgery. However, a high rate of anastomotic failure has been reported. We report new side-to-side anastomosis creation using a CS, the so-called circular side stapling technique (CST). After excising the rectum at the oral and anal sides of the tumor with a linear stapler, a side-to-side colorectal anastomosis was made on the anterior wall of the rectosigmoid colon and the anterior or posterior wall of the rectum with a CS. Between 2012 and 2013, we recorded 30 serial cases of rectal-sigmoid or rectal cancer that were treated with laparoscopic-assisted surgeries using this method. In the 30 cases, the mean age was 68 ± 12 years, operating time was 288 ± 80 minutes, and blood loss was 66 ± 67 mL. None of the patients suffered from anastomosis leakage or postoperative anastomotic bleeding, and none complained of their stool habits. Three months after the last surgery in this cohort, no anastomosis strictures were reported. Based on these results, we propose an alternative method of side-to-side anastomosis for low anterior resection by using a CS to prevent staple overlap. Our experience indicates that the CST is easy and safe. Therefore, this method is a useful alternative to the current method used in laparoscopic surgery.

scholarly journals Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer Using a Double Stapling Technique

2010 ◽  
Vol 4 (2) ◽  
pp. 224-228 ◽  
Author(s):  
Satoshi Yodonawa ◽  
Isao Ogawa ◽  
Susumu Yoshida ◽  
Hiromichi Ito ◽  
Keisuke Kobayashi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

scholarly journals Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yosuke Tajima ◽  
Tsunekazu Hanai ◽  
Hidetoshi Katsuno ◽  
Koji Masumori ◽  
Yoshikazu Koide ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Colorectal Anastomosis ◽  
Circular Stapler ◽  
Anal Stenosis ◽  
Robotic Assistance ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

Abstract Background Colorectal anastomosis using the double stapling technique (DST) has become a standard procedure. However, DST is difficult to perform in patients with anal stenosis because a circular stapler cannot be inserted into the rectum through the anus. Thus, an alternative procedure is required for colorectal anastomosis. Case presentation A 78-year-old woman presented with bloody stool. Colonoscopy and computed tomography revealed advanced low rectal cancer without lymph node or distant metastasis. We initially planned to perform low anterior resection using a double stapling technique or transanal hand-sewn anastomosis, but this would have been too difficult due to anal stenosis and fibrosis caused by a Milligan-Morgan hemorrhoidectomy performed 20 years earlier. The patient had never experienced defecation problems and declined a stoma. Therefore, we inserted an anvil into the rectal stump and fixed it robotically with a purse-string suture followed by insertion of the shaft of the circular stapler from the sigmoidal side. In this way, side-to-end anastomosis was accomplished laparoscopically. The distance from the anus to the anastomosis was 5 cm. The patient was discharged with no anastomotic leakage. Robotic assistance proved extremely useful for low anterior resection with side-to-end anastomosis. Conclusion Performing side-to-end anastomosis with robotic assistance was extremely useful in this patient with rectal cancer and anal stenosis.

scholarly journals Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis

2020 ◽  
Author(s):  
Yosuke Tajima ◽  
Tsunekazu Hanai ◽  
Hidetoshi Katsuno ◽  
Koji Masumori ◽  
Yoshikazu Koide ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Circular Stapler ◽  
Anal Stenosis ◽  
Robotic Assistance ◽  
Bloody Stool ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

Abstract BackgroundColorectal anastomosis using the double stapling technique (DST) has become a standard procedure. However, DST is difficult to perform in patients with anal stenosis because a circular stapler cannot be inserted into the rectum through the anus. Thus, an alternative procedure is required for colorectal anastomosis.Case presentationA 78-year-old woman presented with bloody stool. Colonoscopy and computed tomography revealed advanced low rectal cancer without lymph node or distant metastasis. We initially planned to perform low anterior resection using a double-stapling technique or transanal hand-sewn anastomosis but this would have been too difficult due to anal stenosis and fibrosis caused by a Milligan-Morgan hemorrhoidectomy performed 20 years earlier. The patient had never experienced defecation problems and declined a stoma. Therefore, we inserted an anvil into the rectal stump and fixed it robotically with a purse-string suture followed by insertion of the shaft of the circular stapler from the sigmoidal side. In this way, side-to-end anastomosis was accomplished laparoscopically. The distance from the anus to the anastomosis was 5 cm. The patient was discharged with no anastomotic leakage. Robotic assistance proved extremely useful for low anterior resection with side-to-end anastomosis.ConclusionPerforming side-to-end anastomosis with robotic assistance was extremely useful in this patient with rectal cancer and anal stenosis.

Sign in / Sign up

Export Citation Format

Share Document