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[Stapler-dependent surgical procedures in the colorectal area].
A Schafmayer1, H Köhler, R Schlemminger
1Chirurgische Universitätsklinik, Göttingen.
Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
Summary
The double stapling technique in colon surgery shows a lower anastomosis insufficiency rate (2.7%) compared to the EEA stapler (5.4%). This method is also effective in Hartmann procedures and colonic reservoir construction.
Area of Science:
- Colorectal Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Surgical stapling has become a significant tool in colon surgery.
- The double stapling technique represents an advancement over traditional methods.
- Previous studies have explored the efficacy of various stapling devices.
Purpose of the Study:
- To evaluate the effectiveness and safety of the double stapling technique in low anterior resections.
- To compare the anastomosis insufficiency rates between double stapling and the EEA stapler.
- To explore other applications of stapler techniques in colorectal surgery, such as Hartmann procedures and colonic reservoir construction.
Main Methods:
- A retrospective analysis of 110 low anterior resections performed between 1984 and 1989.
- Patients were divided into two groups: 73 undergoing double stapling and 37 using the EEA stapler.
- Data on anastomosis insufficiency rates were collected and compared between the groups.
Main Results:
- The double stapling group exhibited an anastomosis insufficiency rate of 2.7%.
- The EEA stapler group had an anastomosis insufficiency rate of 5.4%.
- No instances of anastomosis insufficiency were observed in 43 reconstructive operations using Hartmann's procedure between 1983 and 1988.
Conclusions:
- The double stapling technique appears to be a safe and effective method for low anterior resections, with a lower rate of anastomosis insufficiency.
- Stapler techniques, including double stapling, are also beneficial for reconstructive surgery like the Hartmann procedure and for creating colonic reservoirs.