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[The Knight-Griffen technique in colorectal surgery]
G Celoria1, E Falco, A Nardini
1II Divisione di Chirurgia Generale, Ospedale Civile Sant'Andrea, La Spezia.
Minerva Chirurgica
|December 1, 1993
Summary
The double stapling technique for low colorectal anastomosis in 42 patients showed zero mortality and no clinical anastomotic leaks. This colorectal surgery method effectively manages rectal adenocarcinoma and Hartmann
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Gastrointestinal Oncology
Context:
- The evolution of surgical techniques in colorectal procedures.
- The adoption of stapling devices in modern surgery.
- Challenges in performing low colorectal anastomoses.
Purpose:
- To evaluate the efficacy and safety of the double stapling technique for low colorectal anastomosis.
- To assess outcomes in patients undergoing this procedure for rectal adenocarcinoma and post-Hartmann's closure.
Summary:
- The study reports on 42 patients undergoing low colorectal anastomosis using the double stapling technique.
- Procedures were performed for rectal adenocarcinoma (34 patients) and closure of colostomy after Hartmann's operation (8 patients).
- Outcomes included nil mortality, no clinical anastomotic leaks, and 2 cases of manageable late anastomotic stenosis.
Impact:
- Demonstrates the safety and effectiveness of the double stapling technique in low colorectal surgery.
- Provides evidence for successful management of complex cases, including rectal cancer and post-Hartmann's reconstruction.
- Highlights a low rate of complications, with stenosis being treatable via endoscopic pneumatic dilatation.