Document Detail

Use of the modified double-stapling technique with vertical division of the rectum during a sphincter-preserving operation for the treatment of a rectal tumor.
MedLine Citation:
PMID:  22884267     Owner:  NLM     Status:  MEDLINE    
BACKGROUND/OBJECTIVES: The modified double-stapling technique (DST) with vertical division of the rectum(IO-DST) has been reported as a feasible and safe procedure for performing low anastomosis during rectal cancer surgery. In this procedure, an endostapler was vertically used, instead of using a horizontally orientated linear stapler, when dividing the rectum. A previous study reported that this technique is useful for treating patients with a narrow pelvis and/or performing a very low anastomosis.
METHODS: The use of IO-DST anastomosis during anterior resection(AR) and low anterior resection was performed on 80 cases of rectal cancer between April 1998 and June 2004 at our institution. We reviewed those cases and evaluated the leakage rate.
RESULTS: We found that leakage occurred in six cases (7.5%); however, leakage was not found in cases of AR or cases with a preserved left colic artery (LCA).
CONCLUSIONS: The IO-DST technique is an adequate procedure for performing AR. The preservation of the LCA could be used to prevent leakage.
Masahiro Tsubaki; Yuichi Ito; Masanori Fujita; Hiroyuki Kato
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2012-06-16
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  35     ISSN:  0219-3108     ISO Abbreviation:  Asian J Surg     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-08-13     Completed Date:  2012-12-27     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  110-2     Citation Subset:  IM    
Copyright Information:
Copyright © 2012, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.
First Department of Surgery, Dokkyo Medical University, School of Medicine, Japan.
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MeSH Terms
Aged, 80 and over
Anal Canal / surgery*
Anastomosis, Surgical
Anastomotic Leak / epidemiology,  prevention & control
Middle Aged
Rectal Neoplasms / surgery*
Rectum / surgery*
Surgical Staplers
Surgical Stapling / instrumentation,  methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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