Stapling techniques in colorectal cancer surgery

ABSTRACT

This prospective non-randomized study was performed on 65 patients with carcinoma of the colorectal region undergoing a stapler anastomoses using the ILS stapler system. The overall incidence of complications was 36.9% [15.3% general complications and 21.6% related complications]. The possibly related general complications were seven cases of wound infections and one case of wound dehiscence. While, the unrelated general complications [3%] were one case of hematemesis and another one as pulmonary embolus. As regards the related complications, five cases of leakage, five cases of stricture and four cases of local recurrence were reported. The duration of surgery varied from 90 to 190 minutes with a mean time of 125 minutes; while, time consumed to create and complete anastomosis varied from 10 to 20 minutes with a mean time of 14 minutes. Sphincter functions were not affected via endoscopic and manometric examination. The stapled anastomosis was ten times expensive [EP 600] than other ordinary techniques [EP 60]. Hospital stay after surgery ranged from 10 to 27 days with a mean stay of 14.9 days. There was no mortality