[Double stapler technique in colorectal surgery]

Area of Science:

• Colorectal Surgery
• Surgical Techniques
• Gastrointestinal Oncology

Background:

• Colorectal surgery has advanced with circular stapler and double stapler techniques, enabling very low rectal anastomoses and reducing leakage.
• These techniques have improved outcomes in treating rectosigmoid pathology.

Purpose of the Study:

• To evaluate the functional outcomes and complication rates of the double stapler technique in colorectal surgery.
• Assessing the safety and efficacy of this method in Mexican hospitals.

Main Methods:

• A retrospective review of clinical records from May 1995 to December 2005.
• Analysis of patients who underwent surgery using the double stapler technique by the study authors.

Main Results:

• The study included 142 patients, with 55 undergoing rectosigmoid cancer resections. The average age was 60.1 years, with a male predominance.
• The circular stapler CDH 33 was most frequently used. The average distance for extended low anastomoses was 3.21 cm, with an anastomotic leak rate of 3.52%.

Conclusions:

• The double stapler technique is a safe and secure method for rectosigmoid pathology, maintaining intestinal continuity in low and extended low anterior resections.
• A protective ileostomy is recommended for high-risk patients undergoing extended low anterior resection with primary anastomosis.