Peranal introduction of the stapler in colorectal anastomosis with a double-stapling technique

1994 ◽  
Vol 81 (7) ◽  
pp. 1057-1057 ◽  
Author(s):  
K. Maeda ◽  
M. Hashimoto ◽  
H. Katai ◽  
J. Koh ◽  
O. Yamamoto ◽  
...  
Keyword(s):  
Colorectal Anastomosis ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

scholarly journals Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yosuke Tajima ◽  
Tsunekazu Hanai ◽  
Hidetoshi Katsuno ◽  
Koji Masumori ◽  
Yoshikazu Koide ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Colorectal Anastomosis ◽  
Circular Stapler ◽  
Anal Stenosis ◽  
Robotic Assistance ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

Abstract Background Colorectal anastomosis using the double stapling technique (DST) has become a standard procedure. However, DST is difficult to perform in patients with anal stenosis because a circular stapler cannot be inserted into the rectum through the anus. Thus, an alternative procedure is required for colorectal anastomosis. Case presentation A 78-year-old woman presented with bloody stool. Colonoscopy and computed tomography revealed advanced low rectal cancer without lymph node or distant metastasis. We initially planned to perform low anterior resection using a double stapling technique or transanal hand-sewn anastomosis, but this would have been too difficult due to anal stenosis and fibrosis caused by a Milligan-Morgan hemorrhoidectomy performed 20 years earlier. The patient had never experienced defecation problems and declined a stoma. Therefore, we inserted an anvil into the rectal stump and fixed it robotically with a purse-string suture followed by insertion of the shaft of the circular stapler from the sigmoidal side. In this way, side-to-end anastomosis was accomplished laparoscopically. The distance from the anus to the anastomosis was 5 cm. The patient was discharged with no anastomotic leakage. Robotic assistance proved extremely useful for low anterior resection with side-to-end anastomosis. Conclusion Performing side-to-end anastomosis with robotic assistance was extremely useful in this patient with rectal cancer and anal stenosis.

Stenosis after use of the double-stapling technique for reconstruction after laparoscopy-assisted total gastrectomy

2013 ◽  
Vol 27 (10) ◽  
pp. 3683-3689 ◽  
Author(s):  
Toru Zuiki ◽  
Yoshinori Hosoya ◽  
Yuji Kaneda ◽  
Kentaro Kurashina ◽  
Shin Saito ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling
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