title: [CS circular staplers for rectal surgery--a multicenter prospective study].
abstract: While circular staplers are used worldwide - especially for rectal anastomoses - there are relatively few publications on the effectiveness of these instruments. Between May 2008 and March 2009 in a prospective multicenter surveillance study 136 patients were enrolled from nine surgical units in Hungary. Rectal anastomoses were performed mainly in the upper and middle third of the rectum. In 115 cases adenocarcinoma, in 16 patients other type of malignant tumors and in 5 cases with anastomosis in the distal third were estimated too. 20 laparoscopic and 116 "conventional" surgery was performed. 32 mm diameter type CS circular staplers were used in 50, 28 mm in 85, and 25 mm in one case. Intraoperative technical failure of the device occurred in four cases, immediate correction were performed successfully in all of these patients and they recovered without postoperative complications. Late anastomotic leaks were detected in five patients, of which three healed spontaneously and two required reoperation. In the whole series two patients died representing a 1.4 percent mortality rate. The CS circular staplers proved to be appropriate for infraperitoneal rectal anastomoses.
authors.affiliation: Semmelweis Egyetem I. sz. Sebészeti Klinika 1082 Budapest Ulloi út 78. igazgato@seb1.sote.hu
authors.forename: Péter
authors.initials: P
authors.lastname: Kupcsulik
authors.forename: Attila
authors.initials: A
authors.lastname: Nagy
authors.forename: György
authors.initials: G
authors.lastname: Lázár
authors.forename: József
authors.initials: J
authors.lastname: Farkas
authors.forename: Aurél
authors.initials: A
authors.lastname: Ottlakán
authors.forename: György
authors.initials: G
authors.lastname: Martyin
authors.forename: Tibor
authors.initials: T
authors.lastname: Oláh
authors.forename: Tibor
authors.initials: T
authors.lastname: Dinka
authors.forename: Attila
authors.initials: A
authors.lastname: Oláh
authors.forename: Ferenc
authors.initials: F
authors.lastname: Jakab
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012002:Rectal Diseases / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013528:Surgical Staplers / Q000009:adverse effects; D017792:Surgical Stapling / Q000009:adverse effects; D013529:Surgical Wound Dehiscence / Q000209:etiology; D016896:Treatment Outcome