Triangulating stapling technique for reconstruction after colectomy

Fukunaga, Y.; Higashino, M.; Tanimura, S.; Osugi, H.

Hepato-Gastroenterology 54(74): 414-417


ISSN/ISBN: 0172-6390
PMID: 17523286
Document Number: 2757
Background/Aims: To retrospectively compare the triangulating stapling technique for colocolonic anastomosis with hand-sewn anastomosis and functional end-to-end anastomosis.Methodology: Data from 646 patients who underwent colectomy for cancer from 1993 to 2004 were extracted by chart review. Patients were divided into three groups based on the type of anastomosis: handsewn (n=233), functional end-to-end (n=71), and the triangulating stapling method (n=346). Demographic data and clinical characteristics of the three groups were similar.Results: Anastomotic leakage was significantly more common in the hand-sewn group than the triangular stapling group (hand-sewn; 3.0%, functional end-to-end; 2.8%, triangulating; 0.6%) (P < 0.05). No patient developed bleeding or stenosis at the anastomosis, and the incidence of wound infection was equivalent among the three groups. One death due to anastomotic failure occurred in each of the functional end-to-end and triangulating stapling groups. The cost of triangulating stapling was approximately Y-36,000 lower than the cost of the functional end-to-end anastomosis.Conclusions: The triangulating stapling technique is an attractive alternative to other methods for creating a colocolonic anastomosis.

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Triangulating stapling technique for reconstruction after colectomy