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Updated: May 26, 2026

Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
[Complications after stapled transanal rectal resection for obstructed defecation]
Bin Zhang1, Jian-hua Ding, Meng Zhang
1Department of Colorectal Disease Surgery, The Second Artillary General Hospital, Beijing 100088, China.
Stapled transanal rectal resection (STARR) is a safe treatment for obstructed defecation syndrome (ODS). Most patients experienced no or minor complications, with low rates of reoperation for both short-term and long-term adverse events.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Obstructed defecation syndrome (ODS) significantly impacts quality of life.
- Surgical interventions are considered for refractory ODS cases.
Purpose:
- To evaluate the safety and postoperative complications of Stapled Transanal Rectal Resection (STARR) in patients with ODS.
Summary:
- A retrospective study analyzed 112 female patients undergoing STARR for ODS.
- Short-term complications occurred in 16.1% (e.g., fecal incontinence, bleeding), with 1.8% requiring reoperation.
- Long-term complications (5.4% over 24 months median follow-up) included fecal incontinence and chronic pain, with 2.7% reoperated.
Impact:
- STARR demonstrates a favorable safety profile for ODS treatment.
- Understanding complication rates aids in patient selection and surgical counseling.
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