Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Small circular staplers possess the advantage of being relatively easy to use when compared to larger circular staplers. However, there is some contention as to whether the use of small circular staples in colorectal surgery increases the incidence of anastomotic strictures. This study aimed to determine whether the frequency of anastomosis site stricture formation differs depending on stapler size when performing anastomosis in colorectal surgery.
Methods: Patients who underwent surgery for colon or rectal disease between June 1, 2009, and December 31, 2021, and who had circular staplers used for the formation of intestinal anastomoses post colectomy were included in our study. Propensity score matching with a 1:1 ratio using logistic regression was performed. The primary outcome was the anastomotic stricture rate, and the secondary outcome was total anastomotic complications.
Results: A total of 875 patients who were operated on by surgeons using 28/29-mm and 25-mm circular staplers were included. After propensity score matching, 106 patients were assigned to each group. Anastomotic strictures occurred in two cases (1.9%) from the 25-mm group and in four cases (3.8%) from the 28/29-mm group. There were no statistically significant differences between the two groups (p = 0.683). Anastomotic complications were observed in two cases (1.9%) from the 25-mm group and in six cases (5.7%) from the 28/29-mm group; no statistically significant differences were found (p = 0.280).
Conclusion: Circular stapler size does not influence anastomotic stricture formation in colorectal surgery.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615279 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0287595 | PLOS |
Publication Analysis
Top Keywords
Similar Publications
A comparative clinical outcome study of power-assisted vs. manually-operated circular staplers for deep colorectal anastomosis.
BMC Surg
August 2025
Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Unité de Chirurgie Colo-rectale, Trousseau Hospital, University Hospital of Tours, Avenue de la République, Chambray- Les-Tours, France.
Introduction: The objective of this study is to compare the perioperative clinical outcomes between power-assisted circular staplers (PCS) and manually-operated circular staplers (MCS) with directional stapling technology (DST) for deep colorectal anastomoses.
Materials And Methods: A retrospective analysis of a prospective database of 64 consecutive patients who underwent elective surgery for low colorectal anastomosis (< 7 cm from the anal verge) between February 2020 and December 2022 at a tertiary referral center for colorectal surgery at the University Hospital of Tours, France. Patients were divided into two groups according to the stapler used: PCS group II; (n = 35) and MCS (group I; n = 29).
Esophagojejunostomy using a circular stapler after laparoscopic total gastrectomy with pouch suture and multifunctional sealing cap: a simple, safe, and effective anastomosis technique.
Updates Surg
August 2025
Yancheng First Hospital, Affiliated Hospital of Nanjing University Medical School, Yancheng, China.
Laparoscopic total gastrectomy (LTG) still poses certain technical challenges today, especially in performing esophagojejunostomy during laparoscopic gastric resection, as this procedure demands high technical expertise and is considered difficult. Currently, digestive tract reconstruction methods after LTG involve two main types of anastomosis: circular stapler anastomosis and linear stapler anastomosis. Circular stapler anastomosis is considered the "gold standard" for esophagojejunostomy in open total gastrectomy.
View Article and Find Full Text PDFRandomized Controlled Trial Comparative Study in Powered and Manual Stapler in Low Anterior Resection of Rectal Cancer.
Asian J Endosc Surg
August 2025
Department of Surgery, College of Medicine, Rajavithi Hospital, Rangsit University, Bangkok, Thailand.
Background: Anastomotic leakage remains one of the most serious complications following low anterior resection (LAR) for rectal cancer. While powered circular staplers (PCS) have been introduced to improve surgical consistency and reduce technical errors, their clinical superiority over manual circular staplers (MCS) remains unclear.
Methods: A randomized controlled trial was conducted from December 2022 to April 2025, enrolling 179 patients with mid-to-low rectal cancer scheduled for LAR.
Laparoscopic Disc Excision of Rectal Endometriosis Nodules With a Circular Stapler.
Dis Colon Rectum
July 2025
Department of Colorectal Surgery, The Royal Melbourne Hospital, Melbourne, Australia.
Evaluation of intestinal tissue safety during the compression process of circular end-to-end anastomosis stapler based on finite element simulation.
Front Bioeng Biotechnol
June 2025
Department of Anorectal Surgery, Gansu Provincial Hospital, Gansu Clinical Medical Research Center for Anorectal Diseases, Lanzhou, Gansu, China.
Objective: Currently, there is no standardized finite element analysis method for investigating the safe compression range of circular end-to-end anastomosis stapler. This study aims to develop a finite element analysis framework based on stress thresholds and the volumetric distribution of tissue states, and to investigate the effects of tissue thickness and compression ratio on the risk of compression-induced injury during anastomosis. The evaluation is conducted by calculating the proportion of the volume of elements categorized as "effective fixation" or "damaged" based on equivalent stress.
View Article and Find Full Text PDF