Surgical technique and considerations about transanal transection and single-stapled (TTSS) anastomosis: the search for a perfect anastomosis
J. coloproctol. (Rio J., Impr.)
; 41(4): 451-454, Out.-Dec. 2021. ilus
Article
in En
| LILACS
| ID: biblio-1356438
Responsible library:
BR545.3
ABSTRACT
The evaluation of preventivemeasures and risk factors for anastomotic leakage has been a constant concern among colorectal surgeons. In this context, the description of a new way to perform a colorectal, coloanal or ileoanal anastomosis, known as transanal transection and single-stapled (TTSS) anastomosis, deserves an appreciation of its qualities, and a discussion about its properties and technical details. In the present paper, the authors review themost recent efforts aiming to reduce anastomotic dehiscence, and describe the TTSS technique in a patient submitted to laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for familial adenomatous polyposis. Surgical perception raises important advantages such as distal rectal transection under visualization, elimination of double-stapling lines (with cost-effectiveness and potential protection against suture dehiscence), elimination of dog ears, and the opportunity to be accomplished via a transanal approach after open, laparoscopic, or robotic colorectal resections. Future studies to confirm these supposed advantages are needed. (AU)
Key words
Full text:
1
Index:
LILACS
Main subject:
Anal Canal
/
Anastomosis, Surgical
/
Surgical Stapling
Type of study:
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
J. coloproctol. (Rio J., Impr.)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
GASTROENTEROLOGIA
/
Cirurgia
Year:
2021
Type:
Article