A systematic review shows larger circular staplers reduce anastomotic stricture risk after low colorectal anastomosis, suggesting a need for larger sizes.
Larger circular staplers are associated with a reduced risk of anastomotic stricture following low colorectal anastomosis, without increasing other postoperative complications. These findings support the consideration of larger stapler diameters when anatomically feasible. Further high-quality prospective studies are warranted to validate these results and guide surgical decision-making.
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Styliandi et al. (2026) studied this question.
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