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Low anterior resection of the rectum using a double stapling technique
1Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories.
The British Journal of Surgery
|August 1, 1990
Summary
Double stapling for anterior resection of the rectum in 30 patients demonstrated good outcomes. This technique for low rectal cancer and other conditions showed low complication rates and preserved continence.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Anterior resection of the rectum is a standard surgical procedure for low rectal pathologies.
- Minimally invasive techniques aim to improve patient outcomes and reduce complications.
Purpose of the Study:
- To evaluate the safety and efficacy of a double stapling technique for anterior resection of the rectum.
- To assess outcomes including anastomotic leaks, continence, and recurrence rates.
Main Methods:
- A double stapling technique was used in 30 patients undergoing anterior resection for low rectal carcinoma, adenoma, or stricture.
- Adjustable-angle linear stapler and EEA circular stapler were employed for rectal and colorectal/coloanal anastomoses.
- Protecting colostomy was used in select cases, and outcomes were monitored post-operatively.
Main Results:
- The study included 28 low rectal carcinoma cases, one giant rectal adenoma, and one radiation-induced rectal stricture.
- Two clinical anastomotic leaks occurred, successfully managed with defunctioning colostomy.
- Continence was normal in all patients at 8 weeks, with one case of anastomotic stricture requiring dilatation. No recurrences were detected during follow-up.
Conclusions:
- The double stapling technique for anterior resection of the rectum is a safe and effective method for treating low rectal pathologies.
- The technique is associated with a low rate of anastomotic complications and good functional outcomes, including preserved continence.