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Stapling technique for primary and secondary rectal anastomoses.

F D Griffen, C D Knight

The Surgical Clinics of North America

|June 1, 1984

Summary

The EEA stapler provides a new option for low colorectal anastomoses, potentially enabling safer and lower resections compared to traditional hand-sewn methods. This review highlights its use in primary and staged procedures.

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Area of Science:

Colorectal surgery
Surgical instrumentation
Gastrointestinal anastomosis

Background:

Hand-sewn techniques for colorectal anastomoses have limitations.
Low colorectal resections present unique surgical challenges.
The EEA stapler offers a novel approach to anastomosis creation.

Purpose of the Study:

To evaluate the EEA stapler as an alternative to hand-sewn techniques.
To assess the safety and feasibility of low colorectal resections using the EEA stapler.
To emphasize the combined stapler technique in primary and staged anastomoses.

Main Methods:

Review of 52 primary EEA anastomoses.
Review of 8 staged EEA anastomoses.
Emphasis on the combined stapler technique.

Main Results:

The EEA stapler facilitates low colorectal anastomoses.
The stapler may enable safer and lower resection margins.
The combined stapler technique was applied in reviewed cases.

Conclusions:

The EEA stapler is a viable alternative for low colorectal anastomoses.
This technique may improve safety and resection levels in specific cases.
Further evaluation of the combined stapler technique is warranted.

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