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The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study

BACKGROUND: Small circular staplers possess the advantage of being relatively easy to use when compared to larger circular staplers. However, there is some contention as to whether the use of small circular staples in colorectal surgery increases the incidence of anastomotic strictures. This study a...

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Autores principales: Lee, Kil-yong, Lee, Jaeim, Park, Youn Young, Kim, Hyung-Jin, Oh, Seong Taek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615279/
https://www.ncbi.nlm.nih.gov/pubmed/37903104
http://dx.doi.org/10.1371/journal.pone.0287595
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author Lee, Kil-yong
Lee, Jaeim
Park, Youn Young
Kim, Hyung-Jin
Oh, Seong Taek
author_facet Lee, Kil-yong
Lee, Jaeim
Park, Youn Young
Kim, Hyung-Jin
Oh, Seong Taek
author_sort Lee, Kil-yong
collection PubMed
description BACKGROUND: Small circular staplers possess the advantage of being relatively easy to use when compared to larger circular staplers. However, there is some contention as to whether the use of small circular staples in colorectal surgery increases the incidence of anastomotic strictures. This study aimed to determine whether the frequency of anastomosis site stricture formation differs depending on stapler size when performing anastomosis in colorectal surgery. METHODS: Patients who underwent surgery for colon or rectal disease between June 1, 2009, and December 31, 2021, and who had circular staplers used for the formation of intestinal anastomoses post colectomy were included in our study. Propensity score matching with a 1:1 ratio using logistic regression was performed. The primary outcome was the anastomotic stricture rate, and the secondary outcome was total anastomotic complications. RESULTS: A total of 875 patients who were operated on by surgeons using 28/29-mm and 25-mm circular staplers were included. After propensity score matching, 106 patients were assigned to each group. Anastomotic strictures occurred in two cases (1.9%) from the 25-mm group and in four cases (3.8%) from the 28/29-mm group. There were no statistically significant differences between the two groups (p = 0.683). Anastomotic complications were observed in two cases (1.9%) from the 25-mm group and in six cases (5.7%) from the 28/29-mm group; no statistically significant differences were found (p = 0.280). CONCLUSION: Circular stapler size does not influence anastomotic stricture formation in colorectal surgery.
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spelling pubmed-106152792023-10-31 The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study Lee, Kil-yong Lee, Jaeim Park, Youn Young Kim, Hyung-Jin Oh, Seong Taek PLoS One Research Article BACKGROUND: Small circular staplers possess the advantage of being relatively easy to use when compared to larger circular staplers. However, there is some contention as to whether the use of small circular staples in colorectal surgery increases the incidence of anastomotic strictures. This study aimed to determine whether the frequency of anastomosis site stricture formation differs depending on stapler size when performing anastomosis in colorectal surgery. METHODS: Patients who underwent surgery for colon or rectal disease between June 1, 2009, and December 31, 2021, and who had circular staplers used for the formation of intestinal anastomoses post colectomy were included in our study. Propensity score matching with a 1:1 ratio using logistic regression was performed. The primary outcome was the anastomotic stricture rate, and the secondary outcome was total anastomotic complications. RESULTS: A total of 875 patients who were operated on by surgeons using 28/29-mm and 25-mm circular staplers were included. After propensity score matching, 106 patients were assigned to each group. Anastomotic strictures occurred in two cases (1.9%) from the 25-mm group and in four cases (3.8%) from the 28/29-mm group. There were no statistically significant differences between the two groups (p = 0.683). Anastomotic complications were observed in two cases (1.9%) from the 25-mm group and in six cases (5.7%) from the 28/29-mm group; no statistically significant differences were found (p = 0.280). CONCLUSION: Circular stapler size does not influence anastomotic stricture formation in colorectal surgery. Public Library of Science 2023-10-30 /pmc/articles/PMC10615279/ /pubmed/37903104 http://dx.doi.org/10.1371/journal.pone.0287595 Text en © 2023 Lee et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lee, Kil-yong
Lee, Jaeim
Park, Youn Young
Kim, Hyung-Jin
Oh, Seong Taek
The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study
title The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study
title_full The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study
title_fullStr The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study
title_full_unstemmed The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study
title_short The effect of circular stapler size on anastomotic stricture formation in colorectal surgery: A propensity score matched study
title_sort effect of circular stapler size on anastomotic stricture formation in colorectal surgery: a propensity score matched study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615279/
https://www.ncbi.nlm.nih.gov/pubmed/37903104
http://dx.doi.org/10.1371/journal.pone.0287595
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