Impact of a circular powered stapler on preventing anastomotic leakage in patients with left-sided colorectal cancer: a retrospective study.

Autor: Shibutani, Masatsune, Fukuoka, Tatsunari, Iseki, Yasuhito, Kasashima, Hiroaki, Kitayama, Kishu, Maeda, Kiyoshi
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Zdroj: BMC Surgery; 7/18/2023, Vol. 23, p1-7, 7p
Abstrakt: Background: The powered circular stapler, which was developed with the aim of providing reliable and reproducible anastomosis, provides complete anastomosis, resulting in a reduced risk of anastomotic leakage. The aim of this study was to compare the incidence of anastomotic leakage between a conventional manual circular stapler (MCS) and the ECHELON CIRCULAR™ Powered Stapler (ECPS) in patients with left-sided colorectal cancer who underwent anastomosis with the double stapling technique. Methods: A total of 187 patients with left-sided colorectal cancer who underwent anastomosis with the double stapling technique with a conventional MCS or the ECPS during surgery at Osaka City University Hospital between January 2016 and July 2022 were enrolled in this study. Results: The incidence of anastomotic leakage in the ECPS group was significantly lower than that in the MCS group (4.4% versus 14.3%, p = 0.048). Furthermore, even after propensity score matching, an association was found between the use of the ECPS and a reduced incidence of anastomotic leakage. Conclusion: The ECPS has the potential to help reduce the rate of anastomotic leakage in left-sided colorectal surgery. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index