title: [How safe is intracorporeal anastomosis?].
abstract: A recent German multi-centre study comprising 3070 laparoscopic colorectal resections indicates that complete intracorporeal anastomoses are done in only 1.8%. In agreement with the literature, technically demanding hand-sutured anastomoses are no common practice either. Intracorporeal anastomosis is usually done using endoscopic linear stapling devices or the conventional circular stapler by performing end-to-end, end-to-side, and side-to-side anastomoses. These techniques are more frequently used in the upper than in the lower gastrointestinal tract. The date published so far, however, indicate that the complete intracorporeal anastomosis is a save technique in the hands of laparoscopically experienced surgical teams. This technique has very low rates of postoperative stenoses (0-10%) and, furthermore, very low rates of postoperative anastomotic leakages (0-8%).
authors.affiliation: Klinikum Grosshadern, Chirurgische Klinik und Poliklinik, Marchioninistrasse 15, 81377 München.
authors.forename: G
authors.initials: G
authors.lastname: Meyer
authors.forename: R A
authors.initials: RA
authors.lastname: Lang
authors.forename: T P
authors.initials: TP
authors.lastname: Hüttl
authors.forename: F W
authors.initials: FW
authors.lastname: Schildberg
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D000818:Animals; D003082:Colectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D015337:Multicenter Studies as Topic; D011183:Postoperative Complications / Q000209:etiology; D013528:Surgical Staplers