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Updated: Aug 15, 2026
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
A novel laparoscopic technique for stapled colon and rectal anastomosis
Y Fukunaga1, M Higashino, S Tanimura
1Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22, Miyakojima-Hondoori, Miyakojima-ku, Osaka 5340021, Japan. YosukeF@aol.com
Background:
We present new techniques of stapling anastomosis at laparoscopic colorectal surgery with retrospective review of data.
Methods:
A triangulating stapling technique (T method) was performed in 101 laparoscopic colectomies. Adouble stapling technique (DST) with rectal division by a conventional linear stapler (Abd method) was used in 5 cases of upper/middle rectal cancers and subsequent eversion of the distal rectum from the anus (Ev method) was used for 4 low rectal cancers. Four hundred ninety-six colectomies and 280 rectal surgeries were reviewed.
Results:
Leakage was lower in the T group (0.5%, n=196) than in the hand-sewn group (3.0%, n=233). Leakage of the DST using a laparoscopic linear stapler (12.1%, n=91) was significantly higher than with conventional DST (2.1%, n=189). There was no leakage with either Abd method or Ev method. The T-method is acceptable after laparoscopic colectomy.
Conclusion:
New methods of rectal division using conventional devices are expected to yield reliable anastomosis at laparoscopic rectal surgery.
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