Colorectal eversion technique combined with modified single‐stapled double‐purse‐string low colorectal anastomosis
Fuente:
Wiley Open Access
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Artículo Open Access |
| Veröffentlicht: |
Wiley
2024
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1867021603560226816 |
|---|---|
| author | Crafa Francesco Vanella Serafino |
| author_facet | Crafa Francesco Vanella Serafino Crafa Francesco Vanella Serafino |
| collection | Wiley Open Access |
| contents | Colorectal eversion technique combined with modified single‐stapled double‐purse‐string low colorectal anastomosis Crafa Francesco Vanella Serafino Colorectal Disease AbstractAimTotal mesorectal excision with adequate free margins is the gold standard for rectal surgery. Applying a linear stapler in a narrow pelvis can be challenging and the proper distal margin difficult to assess. In selected cases the colorectal eversion technique combined with single‐stapled double‐purse‐string anastomosis (SSDP) can be a practical solution.MethodEleven patients, six men and five women, mean body mass index 27 ± 1.3 kg/m2, underwent total mesorectal excision with the colorectal eversion technique combined with modified SSDP between September 2022 and January 2023.ResultsThe mean operative time was 190 min. The mean hospital stay was 4 days. There were no postoperative complications. The final histology showed complete mesorectal resection, circumferential resection margin negative, free distal resection margin, anastomotic doughnuts negative. At 7 ± 3 months follow‐up there was no evidence of local recurrence or distant metastasis.ConclusionThe colorectal eversion technique combined with modified SSDP is a reproducible and safe technique in selected patients. Prospective randomized trials with large patient series are needed to confirm our preliminary results. 10.1111/codi.16907 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/codi.16907 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_codi_16907 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Colorectal eversion technique combined with modified single‐stapled double‐purse‐string low colorectal anastomosis Crafa Francesco Vanella Serafino Colorectal Disease Colorectal eversion technique combined with modified single‐stapled double‐purse‐string low colorectal anastomosis Crafa Francesco Vanella Serafino Colorectal Disease AbstractAimTotal mesorectal excision with adequate free margins is the gold standard for rectal surgery. Applying a linear stapler in a narrow pelvis can be challenging and the proper distal margin difficult to assess. In selected cases the colorectal eversion technique combined with single‐stapled double‐purse‐string anastomosis (SSDP) can be a practical solution.MethodEleven patients, six men and five women, mean body mass index 27 ± 1.3 kg/m2, underwent total mesorectal excision with the colorectal eversion technique combined with modified SSDP between September 2022 and January 2023.ResultsThe mean operative time was 190 min. The mean hospital stay was 4 days. There were no postoperative complications. The final histology showed complete mesorectal resection, circumferential resection margin negative, free distal resection margin, anastomotic doughnuts negative. At 7 ± 3 months follow‐up there was no evidence of local recurrence or distant metastasis.ConclusionThe colorectal eversion technique combined with modified SSDP is a reproducible and safe technique in selected patients. Prospective randomized trials with large patient series are needed to confirm our preliminary results. 10.1111/codi.16907 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Colorectal eversion technique combined with modified single‐stapled double‐purse‐string low colorectal anastomosis |
| topic | Colorectal Disease |
| url | https://onlinelibrary.wiley.com/doi/10.1111/codi.16907 |