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Low anterior resection using stapling instrument.

L Ling, A Broomé, S Rydén

    Acta Chirurgica Scandinavica
    |January 1, 1979
    PubMed
    Summary
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    Low anterior resection using the EEA stapling instrument shows promising results for rectal cancer and colon diverticulosis patients, achieving excellent continence post-surgery.

    Area of Science:

    • Colorectal Surgery
    • Surgical Oncology
    • Gastroenterology

    Background:

    • Anterior resection is a key surgical procedure for rectal and colon conditions.
    • Achieving low anastomoses while maintaining functional outcomes presents a surgical challenge.

    Purpose of the Study:

    • To evaluate the efficacy and safety of low anterior resection using the EEA stapling instrument.
    • To assess postoperative continence and complication rates in patients undergoing this procedure.

    Main Methods:

    • Twenty-one patients (18 with rectal carcinoma, 3 with colon diverticulosis) underwent anterior resection.
    • Anastomoses were created using the EEA stapling instrument, enabling very low connections.
    • All patients received a temporary colostomy.

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    Main Results:

    • Seventeen patients experienced an uneventful postoperative course.
    • Three patients had major, yet manageable, complications.
    • One patient died due to pulmonary embolism.
    • All survivors demonstrated complete fecal and flatus continence, even with anastomoses as low as 4 cm from the anus.
    • Two cases of recurrence were observed at 2 and 13 months post-surgery.

    Conclusions:

    • Low anterior resection with the EEA stapling instrument is a promising technique for selected colorectal conditions.
    • The procedure facilitates very low anastomoses, achieving excellent functional results regarding continence.
    • Careful patient selection and monitoring are essential due to potential complications and recurrence risks.