Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery

Hiroki Hashida; Ryosuke Mizuno; Kentaro Iwaki; Yusuke Hanabata; Ryosuke Kita; Nobu Oshima; Koji Kitamura; Masato Kondo; Hiroyuki Kobayashi; Kenji Uryuhara; Satoshi Kaihara

doi:10.5114/wiitm.2022.115168

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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3/2022
vol. 17

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abstract:

Original paper

Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery

Hiroki Hashida

¹

,

Ryosuke Mizuno

¹

,

Kentaro Iwaki

¹

,

Yusuke Hanabata

¹

,

Ryosuke Kita

¹

,

Nobu Oshima

¹

,

Koji Kitamura

¹

,

Masato Kondo

¹

,

Hiroyuki Kobayashi

¹

,

Kenji Uryuhara

¹

,

Satoshi Kaihara

¹

Department of Surgery, Kobe City Medical Center General Hospital, Kobe, Japan

Videosurgery Miniinv 2022; 17 (3): 491–497

DOI: https://doi.org/10.5114/wiitm.2022.115168

Online publish date: 2022/03/31

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AMA

Hashida H, Mizuno R, Iwaki K, et al. Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery. Videosurgery and Other Miniinvasive Techniques. 2022:491-497. doi:10.5114/wiitm.2022.115168.

APA

Hashida, H., Mizuno, R., Iwaki, K., Hanabata, Y., Kita, R.,  & Oshima, N. et al. (2022). Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery. Videosurgery and Other Miniinvasive Techniques, 491-497. https://doi.org/10.5114/wiitm.2022.115168

Chicago

Hashida, Hiroki, Ryosuke Mizuno, Kentaro Iwaki, Yusuke Hanabata, Ryosuke Kita, Nobu Oshima,  and Koji Kitamura et al. 2022. "Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery". Videosurgery and Other Miniinvasive Techniques: 491-497. doi:10.5114/wiitm.2022.115168.

Harvard

Hashida, H., Mizuno, R., Iwaki, K., Hanabata, Y., Kita, R., Oshima, N., Kitamura, K., Kondo, M., Kobayashi, H., Uryuhara, K.,  and Kaihara, S. (2022). Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery. Videosurgery and Other Miniinvasive Techniques, pp.491-497. https://doi.org/10.5114/wiitm.2022.115168

MLA

Hashida, Hiroki et al. "Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery." Videosurgery and Other Miniinvasive Techniques, 2022, pp. 491-497. doi:10.5114/wiitm.2022.115168.

Vancouver

Hashida H, Mizuno R, Iwaki K, Hanabata Y, Kita R, Oshima N et al. Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery. Videosurgery and Other Miniinvasive Techniques. 2022:491-497. doi:10.5114/wiitm.2022.115168.

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Introduction
In rectal surgery, double-stapled anastomosis is one of the most common techniques. However, the crossing of the staple line is considered a weakness of this method and could lead to anastomotic leakage (AL), which is one of the major complications of rectal cancer surgery.

Aim
To investigate the usefulness of laparoscopic intracorporeal reinforcement suturing for preventing AL in laparoscopic rectal surgery.

Material and methods
A total of 153 patients with rectal cancer underwent laparoscopic rectal resection with anastomosis using the double-stapling technique between January 2015 and December 2018. Patient characteristics, surgical data, and outcomes were recorded and retrospectively analysed. Patients who received intracorporeal reinforcing sutures (n = 72) were compared with those who did not receive the reinforcing sutures (n = 81).

Results
AL was observed in 11 (7.2%) cases overall and in only 1 case in the group with intracorporeal reinforcing sutures. There were no associations between clinicopathological factors and the use of reinforcing sutures. Multivariate analysis revealed that a distance from the anal verge of less than 6.5 cm, diabetes mellitus, and the non-use of reinforcing sutures were independent risk factors for AL.

Conclusions
Laparoscopic intracorporeal reinforcing sutures reduced the incidence of AL. Therefore, laparoscopic reinforcing sutures for double-stapled anastomoses seem useful for the prevention of AL.

keywords:

Intracorporeal reinforcing sutures reduce anastomotic leakage in double-stapling anastomosis for laparoscopic rectal surgery

Hiroki Hashida 1 , Ryosuke Mizuno 1 , Kentaro Iwaki 1 , Yusuke Hanabata 1 , Ryosuke Kita 1 , Nobu Oshima 1 , Koji Kitamura 1 , Masato Kondo 1 , Hiroyuki Kobayashi 1 , Kenji Uryuhara 1 , Satoshi Kaihara 1

laparoscopic surgery, rectal cancer, double-stapling, reinforcing suture, anastomotic leakage

Hiroki Hashida

¹

,

Ryosuke Mizuno

¹

,

Kentaro Iwaki

¹

,

Yusuke Hanabata

¹

,

Ryosuke Kita

¹

,

Nobu Oshima

¹

,

Koji Kitamura

¹

,

Masato Kondo

¹

,

Hiroyuki Kobayashi

¹

,

Kenji Uryuhara

¹

,

Satoshi Kaihara

¹