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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  ;  Nam Kyu Kim  ;  Seung Kook Sohn  ;  Kang Young Lee 
 Journal of Gastrointestinal Surgery, Vol.17(4) : 771-775, 2013 
Journal Title
 Journal of Gastrointestinal Surgery 
Issue Date
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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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
강정현(Kang, Jeonghyun) ORCID logo https://orcid.org/0000-0001-7311-6053
김남규(Kim, Nam Kyu) ORCID logo https://orcid.org/0000-0003-0639-5632
민병소(Min, Byung Soh)
백승혁(Baik, Seung Hyuk)
손승국(Sohn, Seung Kook)
이강영(Lee, Kang Young)
이한범(Lee, Han Beom)
허혁(Hur, Hyuk) ORCID logo https://orcid.org/0000-0002-9864-7229
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