Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis.

Area of Science:

• Colorectal surgery
• Surgical techniques
• Anastomosis

Background:

• Stapled anastomotic techniques are widely used in distal rectal surgery.
• Modifications to stapling techniques have evolved, including the triple-staple technique (TSA).
• TSA involves stapled closure of both proximal colon and distal rectal stumps for secure anastomosis.

Purpose of the Study:

• To evaluate the safety and efficacy of the triple-staple technique (TSA).
• To compare clinical outcomes of TSA with the conventional double-staple technique (DSA).

Main Methods:

• A comparative study of 100 consecutive patients undergoing anterior resection.
• 50 patients underwent double-staple anastomosis (DSA).
• 50 patients underwent triple-staple anastomosis (TSA).

Main Results:

• No significant difference in loop ileostomy formation or complication rates between TSA and DSA groups.
• The mean operating time was significantly shorter for the TSA group (242.8 min) compared to the DSA group (306.1 min).
• No significant difference in length of hospital stay was observed.

Conclusions:

• The triple-staple technique is a safe alternative to double-staple anastomosis.
• TSA effectively shortens operative time in anterior resections.