Double-stapled technique in colorectal surgery

Eduardo Villanueva-Sáenz; Ernesto Sierra-Montenegro; Moisés Rojas-Illanes; Juan Pablo Peña-Ruiz Esparza; Paulino Martínez Hernández-Magro; Luis Enrique Bolaños-Badillo

2008, Number 1

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Cir Cir 2008; 76 (1)

Double-stapled technique in colorectal surgery

Villanueva-Sáenz E, Sierra-Montenegro E, Rojas-Illanes M, Peña-Ruiz EJP, Martínez Hernández-Magro P, Bolaños-Badillo LE

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Language: Spanish
References: 23
Page: 49-53
PDF size: 105.41 Kb.

ABSTRACT

Background: Colorectal surgery has evolved significantly during the last 35 years. The circular stapler and the double stapler techniques have favored the development of very low rectal anastomoses with reduction in the index of anastomotic leakage. The objective is to evaluate the functional results and the complication rate of this surgical technique in the Department of Colorectal Surgery at the Hospital de Especialidades, Centro Médico Nacional Siglo XXI and at the Hospital Ángeles del Pedregal in Mexico City.
Methods: Clinical records of patients who underwent surgery performed by the authors were reviewed, using the double stapler technique during the period from May 1995 to December 2005.
Results: The study included 142 patients, 55 of whom had recto-sigmoid cancer resections. Average age was 60.1 years (male predominance 52.05%). Circular stapler most frequently used was CDH 33 (J & J). Average distance between the anal margin and the anastomoses for extended low anastomoses was 3.21 cm (low 7.8 cm and high 13.7 cm) and the rate of anastomoses leak was 3.52%.
Conclusions: Double stapler technique used to treat rectosigmoid pathology is safe, secure and assures intestinal continuity in low anterior as well extended low anterior resections with primary anastomoses. In those patients with associated risk factors and low extended low anterior resection with primary anastomoses, we recommend performing a protective stoma (ileostomy).

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