Low anterior resection with transanal transection and single-stapled anastomosis: technical aspects and initial results.
| Title: | Low anterior resection with transanal transection and single-stapled anastomosis: technical aspects and initial results. |
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| Authors: | Vivas López A; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Surgery Department, Vithas Arturo Soria Hospital, Madrid, Spain.; Villar OG; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Borda JG; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Restrepo Nuñez R; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Surgery Department, Vithas Arturo Soria Hospital, Madrid, Spain.; Rubio E; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Nevado C; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Pelaez P; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Labalde Martinez M; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Alias D; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Falcon K; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Lorenzo S; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain.; Perea García J; Surgery Department, Vithas Arturo Soria Hospital, Madrid, Spain. josepereag@hotmail.com.; Molecular Medicine Unit, Department of Medicine, Institute of Biomedical Research of Salamanca (IBSAL), Institute of Molecular and Cellular Biology of Cancer (IBMCC), Campus Miguel de Unamuno s/n, University of Salamanca-SACYL-CSIC, 37007, Salamanca, Spain. josepereag@hotmail.com.; Ferrero E; Surgery Department, 12 de Octubre University Hospital, Madrid, Spain. |
| Source: | International journal of colorectal disease [Int J Colorectal Dis] 2024 Jun 05; Vol. 39 (1), pp. 85. Date of Electronic Publication: 2024 Jun 05. |
| Publication Type: | Journal Article; Observational Study |
| Language: | English |
| Journal Info: | Publisher: Springer International Country of Publication: Germany NLM ID: 8607899 Publication Model: Electronic Cited Medium: Internet ISSN: 1432-1262 (Electronic) Linking ISSN: 01791958 NLM ISO Abbreviation: Int J Colorectal Dis Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Heidelberg] : [New York : Springer International ; Springer-Verlag, distributor], 1986- |
| MeSH Terms: | Anastomosis, Surgical*/methods ; Rectal Neoplasms*/surgery ; Anal Canal*/surgery ; Surgical Stapling*/methods; Rectum/surgery ; Laparoscopy/methods ; Anastomotic Leak/etiology ; Anastomotic Leak/prevention & control ; Humans ; Male ; Female ; Middle Aged ; Aged ; Treatment Outcome ; Adult ; Aged, 80 and over |
| Abstract: | Background: Rectal cancer (RC) is a surgical challenge due to its technical complexity. The double-stapled (DS) technique, a standard for colorectal anastomosis, has been associated with notable drawbacks, including a high incidence of anastomotic leak (AL). Low anterior resection with transanal transection and single-stapled (TTSS) anastomosis has emerged to mitigate those drawbacks.; Methods: Observational study in which it described the technical aspects and results of the initial group of patients with medium-low RC undergoing elective laparoscopic total mesorectal excision (TME) and TTSS.; Results: Twenty-two patients were included in the series. Favourable postoperative outcomes with a median length of stay of 5 days and an AL incidence of 9.1%. Importantly, all patients achieved complete mesorectal excision with tumour-free margins, and no mortalities were reported.; Conclusion: TTSS emerges as a promising alternative for patients with middle and lower rectal tumours, offering potential benefits in terms of morbidity reduction and oncological integrity compared with other techniques.; (© 2024. The Author(s).) |
| References: | Ann R Coll Surg Engl. 1991 Nov;73(6):385-8. (PMID: 1759770); Lancet Oncol. 2007 Apr;8(4):297-303. (PMID: 17395102); Surgeon. 2009 Jun;7(3):162-9. (PMID: 19580180); Minerva Chir. 2018 Apr;73(2):227-238. (PMID: 29471614); Ann Surg. 2017 Jul;266(1):111-117. (PMID: 27735827); Colorectal Dis. 2019 Jul;21(7):841-846. (PMID: 30943327); Am J Surg. 2000 Feb;179(2):92-6. (PMID: 10773140); Surgery. 2022 Aug;172(2):512-521. (PMID: 35393126); Lancet Oncol. 2014 Jun;15(7):767-74. (PMID: 24837215); Am J Surg. 2011 Sep;202(3):259-64. (PMID: 21871980); Eur J Surg Oncol. 2021 Dec;47(12):3123-3129. (PMID: 34384655); Tech Coloproctol. 2021 Sep;25(9):1019-1026. (PMID: 34120290); JAMA Netw Open. 2024 Jan 2;7(1):e2350903. (PMID: 38194231); Surgery. 2023 Jun;173(6):1367-1373. (PMID: 36967334); Colorectal Dis. 2023 Dec;25(12):2346-2353. (PMID: 37919463); Ann Oncol. 2017 Jul 1;28(suppl_4):iv22-iv40. (PMID: 28881920) |
| Contributed Indexing: | Keywords: Anastomotic leak; Rectal cancer surgery; Single-stapled; TTSS |
| Entry Date(s): | Date Created: 20240605 Date Completed: 20240605 Latest Revision: 20250110 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11153272 |
| DOI: | 10.1007/s00384-024-04646-3 |
| PMID: | 38837095 |
| Database: | MEDLINE |
Journal Article; Observational Study