The effect of staple height and rectal-wall thickness on anastomotic leakage after laparoscopic low anterior resection

Autor: Daishi Naoi, Hisanaga Horie, Ai Sadatomo, Koji Koinuma, Gaku Ota, Kenichi Oshiro, Makiko Tahara, Katsusuke Mori, Homare Ito, Yoshiyuki Inoue, Yuko Homma, Toshiki Mimura, Alan Kawarai Lefor, Naohiro Sata
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Asian Journal of Surgery, Vol 46, Iss 4, Pp 1577-1582 (2023)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2022.09.093
Popis: Background: The aim of this study was to evaluate the effect of staple height and rectal wall thickness on the development of an anastomotic leak after laparoscopic low anterior resection performed with the double stapling technique. Methods: One hundred ninety-nine patients treated from 2013 to 2021 were enrolled. Patients were divided into two groups: those who developed an anastomotic leak (AL (+)) and those who did not (AL (−)). Clinicopathological factors were compared between the groups. Results: Anastomotic leaks were observed in 8/199 patients (4%). A 1.5 mm linear stapler was used for 35/199 patients (17%), 1.8 mm for 89 (45%), and 2 mm for 75 (38%). In the AL (+) group (n = 8), lower staple height (1.5 mm or 1.8 mm) was used more frequently than in the AL (−) group (n = 191). Rectal wall thickness and the rectal wall thickness to staple height ratio was significantly (p
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