J Korean Surg Soc.  1997 Jul;53(1):87-91.

A Simple Technique for Complete Removal of the TA Staple Line in Double Stapling Anastomosis of Rectal Cancer

• Shim KS
• Kim KH
• Park BW
• Park EB
• Han WS

Abstract

Complete removal of the TA staple line in double stapling anastomosis was conducted in thirty one consecutive patients who underwent curative resection of rectal cancer(group A) and the results were compared to those for twenty one consecutive patients who did not undergo complete removal of the TA staple line(group B). There was no leakage in the patients who had the TA staple line completely removed, but there were anastomotic leaks in three patients who did not have it completely removed, (p=0.054). A diverting ileostomy was performed for two patient in group A, seven patients in group B(p=0.04). The distal resection margin of all patients of both groups showed negative results for tumor cell. There were no pelvic complications in either group. Two wound complications were seen in group A; one in group B. Stenosis of the anastomosis line occurred in one patient in group A and group B. Local recurrence around the anastomosis line occurred in one patient in group A, two in group B. Complete removal of the TA staple line in double stapling anastomosis appears to be superior to the usual double stapling technique.

Keyword

Rectal cancer; Double stapling anastomosis; TA staple line

MeSH Terms

Anastomotic Leak
Constriction, Pathologic
Humans
Ileostomy
Rectal Neoplasms*
Recurrence
Wounds and Injuries