Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection

Jeonghyun Kang, Han Beom Lee, Jang Ho Cha, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Namkyu Kim, Seung Kook Sohn, Kang Young Lee

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Anastomotic leakage is a major cause of postoperative morbidity and mortality in the treatment of colorectal cancer. The aim of this study was to investigate the modified double-stapling technique (MDST), as an alternative for conventional double-stapling technique (DST), and whether it could reduce the anastomotic leakage rate in laparoscopic anterior resection (Lapa-AR). Study Design: Between March 2009 and October 2010, a total of 189 patients who underwent Lapa-AR for the treatment of adenocarcinoma of the sigmoid colon or rectosigmoid colon were divided into the MDST group (n = 95) and the DST group (n = 94) according to the anastomotic technique. Data were analyzed retrospectively. Morbidity and anastomotic leakage rate were compared between the two groups. Results: Patient demographics, preoperative comorbidity, tumor size, stage, and operative details were comparable between the two groups. There was no difference in operation time between the two groups. The overall complication rate was significantly lower in the MDST group than in the DST group (3. 2 vs. 10. 6 %, p = 0. 042), including anastomotic leakage rate (0 vs. 4. 6 %, p = 0. 029). The anastomotic technique was the only factor associated with anastomotic leakage in univariate analysis. Conclusions: Our comparative study demonstrates MDST to have better short-term outcome in reducing anastomotic leakage compared with DST. This technique could be an alternative approach to maximize the patients' benefit in laparoscopic anterior resection.

Original languageEnglish
Pages (from-to)771-775
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume17
Issue number4
DOIs
Publication statusPublished - 2013 Jan 4

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Anastomotic Leak
Morbidity
Sigmoid Colon
Comorbidity
Colorectal Neoplasms
Colon
Adenocarcinoma
Demography
Mortality
Therapeutics
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

Kang, Jeonghyun ; Lee, Han Beom ; Cha, Jang Ho ; Hur, Hyuk ; Min, Byung Soh ; Baik, Seung Hyuk ; Kim, Namkyu ; Sohn, Seung Kook ; Lee, Kang Young. / Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection. In: Journal of Gastrointestinal Surgery. 2013 ; Vol. 17, No. 4. pp. 771-775.
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abstract = "Background: Anastomotic leakage is a major cause of postoperative morbidity and mortality in the treatment of colorectal cancer. The aim of this study was to investigate the modified double-stapling technique (MDST), as an alternative for conventional double-stapling technique (DST), and whether it could reduce the anastomotic leakage rate in laparoscopic anterior resection (Lapa-AR). Study Design: Between March 2009 and October 2010, a total of 189 patients who underwent Lapa-AR for the treatment of adenocarcinoma of the sigmoid colon or rectosigmoid colon were divided into the MDST group (n = 95) and the DST group (n = 94) according to the anastomotic technique. Data were analyzed retrospectively. Morbidity and anastomotic leakage rate were compared between the two groups. Results: Patient demographics, preoperative comorbidity, tumor size, stage, and operative details were comparable between the two groups. There was no difference in operation time between the two groups. The overall complication rate was significantly lower in the MDST group than in the DST group (3. 2 vs. 10. 6 {\%}, p = 0. 042), including anastomotic leakage rate (0 vs. 4. 6 {\%}, p = 0. 029). The anastomotic technique was the only factor associated with anastomotic leakage in univariate analysis. Conclusions: Our comparative study demonstrates MDST to have better short-term outcome in reducing anastomotic leakage compared with DST. This technique could be an alternative approach to maximize the patients' benefit in laparoscopic anterior resection.",
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Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection. / Kang, Jeonghyun; Lee, Han Beom; Cha, Jang Ho; Hur, Hyuk; Min, Byung Soh; Baik, Seung Hyuk; Kim, Namkyu; Sohn, Seung Kook; Lee, Kang Young.

In: Journal of Gastrointestinal Surgery, Vol. 17, No. 4, 04.01.2013, p. 771-775.

Research output: Contribution to journalArticle

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T1 - Feasibility and Impact on Surgical Outcomes of Modified Double-Stapling Technique for Patients Undergoing Laparoscopic Anterior Resection

AU - Kang, Jeonghyun

AU - Lee, Han Beom

AU - Cha, Jang Ho

AU - Hur, Hyuk

AU - Min, Byung Soh

AU - Baik, Seung Hyuk

AU - Kim, Namkyu

AU - Sohn, Seung Kook

AU - Lee, Kang Young

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N2 - Background: Anastomotic leakage is a major cause of postoperative morbidity and mortality in the treatment of colorectal cancer. The aim of this study was to investigate the modified double-stapling technique (MDST), as an alternative for conventional double-stapling technique (DST), and whether it could reduce the anastomotic leakage rate in laparoscopic anterior resection (Lapa-AR). Study Design: Between March 2009 and October 2010, a total of 189 patients who underwent Lapa-AR for the treatment of adenocarcinoma of the sigmoid colon or rectosigmoid colon were divided into the MDST group (n = 95) and the DST group (n = 94) according to the anastomotic technique. Data were analyzed retrospectively. Morbidity and anastomotic leakage rate were compared between the two groups. Results: Patient demographics, preoperative comorbidity, tumor size, stage, and operative details were comparable between the two groups. There was no difference in operation time between the two groups. The overall complication rate was significantly lower in the MDST group than in the DST group (3. 2 vs. 10. 6 %, p = 0. 042), including anastomotic leakage rate (0 vs. 4. 6 %, p = 0. 029). The anastomotic technique was the only factor associated with anastomotic leakage in univariate analysis. Conclusions: Our comparative study demonstrates MDST to have better short-term outcome in reducing anastomotic leakage compared with DST. This technique could be an alternative approach to maximize the patients' benefit in laparoscopic anterior resection.

AB - Background: Anastomotic leakage is a major cause of postoperative morbidity and mortality in the treatment of colorectal cancer. The aim of this study was to investigate the modified double-stapling technique (MDST), as an alternative for conventional double-stapling technique (DST), and whether it could reduce the anastomotic leakage rate in laparoscopic anterior resection (Lapa-AR). Study Design: Between March 2009 and October 2010, a total of 189 patients who underwent Lapa-AR for the treatment of adenocarcinoma of the sigmoid colon or rectosigmoid colon were divided into the MDST group (n = 95) and the DST group (n = 94) according to the anastomotic technique. Data were analyzed retrospectively. Morbidity and anastomotic leakage rate were compared between the two groups. Results: Patient demographics, preoperative comorbidity, tumor size, stage, and operative details were comparable between the two groups. There was no difference in operation time between the two groups. The overall complication rate was significantly lower in the MDST group than in the DST group (3. 2 vs. 10. 6 %, p = 0. 042), including anastomotic leakage rate (0 vs. 4. 6 %, p = 0. 029). The anastomotic technique was the only factor associated with anastomotic leakage in univariate analysis. Conclusions: Our comparative study demonstrates MDST to have better short-term outcome in reducing anastomotic leakage compared with DST. This technique could be an alternative approach to maximize the patients' benefit in laparoscopic anterior resection.

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