A linear stapler-free colonic anastomosis for left colectomy: a retrospective comparative study
https://doi.org/10.33878/2073-7556-2025-24-3-176-181
Abstract
AIM: to evaluate early outcomes of original colon linear stapler-free anastomosis after left hemicolectomy or sigmoid resection.
PATIENTS AND METHODS: a retrospective study included 98 patients, who underwent a laparoscopic left colon resection with anastomosis were included and divided in 2 groups: single stapler (study group) and double stapler (control group) anastomosis. The primary endpoint was anastomotic leakage. Secondary endpoints included surgical morbidity (Clavien-Dindo), operation time, blood loss and hospital stay.
RESULTS: thirty-nine patients were included in the study group and 59 in the control group. No cases of anastomotic leakage were observed. Surgical morbidity grade IIIB or higher developed in 0 and 1 (1.7%) patients, accordingly (р = 1.0). Median hospital stay was 8 days (7; 11) and 10 days (7; 11), р = 0.19), median bloodloss 50 ml (50; 70) and 50 ml (50; 100), р = 0.8. Operation time was shorter in the main group 100 min (80; 120) and 120 min (82.5; 155), р = 0.048.
CONCLUSIONS: the original anastomosis is safe.
About the Authors
M. P. Salamakhin
Clinical Oncology Center
Russian Federation
Russian Federation
Maksim P. Salamakhin.
Zavertyaeva st., 9/1, Omsk, 644013
O. V. Leonov
Clinical Oncology Center
Russian Federation
Russian Federation
Oleg V. Leonov.
Zavertyaeva st., 9/1, Omsk, 644013
A. Z. Milovanova
Omsk state medical university
Russian Federation
Russian Federation
Amina Z. Milovanova.
Lenin st., 12, Omsk, 644099
Z. Z. Mamedli
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation
Russian Federation
Zaman Z. Mamedli.
Kashirskoe shosse, 23, Moscow, 115478
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Review
For citations:
Salamakhin M.P., Leonov O.V., Milovanova A.Z., Mamedli Z.Z. A linear stapler-free colonic anastomosis for left colectomy: a retrospective comparative study. Koloproktologia. 2025;24(3):176-181. (In Russ.) https://doi.org/10.33878/2073-7556-2025-24-3-176-181
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