The Use of a Circular Side Stapling Technique in Laparoscopic Low Anterior Resection for XXXX : Experience of 30 Serial Cases.

@entity1 @entity548 @entity190 @entity5 @entity254 @entity177 @entity188
UNASSIGNED: The double-stapling technique using a circular stapler (CS) to create an end-to-end @entity254 is currently used widely in laparoscopic-assisted rectal surgery. However, a high rate of @entity177 has been reported. We report new side-to-side @entity254 creation using a CS, the so-called circular side stapling technique (CST). After excising the rectum at the oral and anal sides of the @entity5 with a linear stapler, a side-to-side colorectal @entity254 was made on the anterior wall of the rectosigmoid colon and the anterior or posterior wall of the rectum with a CS. Between 2012 and 2013, we recorded 30 serial cases of @entity188 that were treated with laparoscopic-assisted surgeries using this method. In the 30 cases, the mean age was 68    12 years, operating time was 288    80 minutes, and @entity190 was 66    67 mL. None of the @entity1 suffered from @entity254 leakage or postoperative @entity548 , and none complained of their stool habits. Three months after the last surgery in this cohort, no @entity254 strictures were reported. Based on these results, we propose an alternative method of side-to-side @entity254 for low anterior resection by using a CS to prevent staple overlap. Our experience indicates that the CST is easy and safe. Therefore, this method is a useful alternative to the current method used in laparoscopic surgery.
