title: The intentional oblique transection double stapling technique in anterior resection for rectal cancer.
abstract: The double stapling technique (DST) is an intestinal reconstruction technique that has been widely adopted in anterior resection (AR) for rectal cancer. However, anastomotic leakage (AL) after the operation remains a major concern for colorectal surgeons. The sharp-angled corner of the remnant rectum that is often created by the ordinary DST can be a risk factor for AL. We have developed a new method of performing intentional oblique transection DST (IOT-DST). Using this technique, the anal side of the rectum is intentionally obliquely transected with linear staplers, and the area of the sharp-angled edge is totally punched out with a circular stapler. Between September 2015 and March 2016, we used the IOT-DST technique in the treatment of 15 consecutive rectal cancer patients and experienced no anastomosis-related complications, including leakage and stenosis. IOT-DST is easy to use and less stressful to perform than other techniques. IOT-DST has the potential to become the standard technique for AR in rectal cancer surgery.
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan. kuramoto@kumamoto-gh.jp.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kuramoto
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ikeshima
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Yamamoto
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Morita
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Uchihara
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Rumi
authors.initials: R
authors.lastname: Itouyama
authors.affiliation: Department of Gastroenterology and Hepatology, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshimatsu
authors.affiliation: Department of Surgery, Kumamoto General Hospital, Japan Community Health Care Organization, 10-10 Tohri-cho, Yatsushiro, Kumamoto, 866-8660, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Shimada
authors.affiliation: Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D057868:Anastomotic Leak / Q000517:prevention & control; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D012004:Rectal Neoplasms / Q000601:surgery*; D017792:Surgical Stapling / Q000379:methods*; D016896:Treatment Outcome
keywords: Anastomotic leakage; Intentional oblique transection double stapling technique; Rectal cancer