Key result
Reinforcing the staple line of colorectal anastomosis resulted in an overall anastomotic leakage rate of 7% versus 26% in controls (p=0.06), and a clinical leakage rate of 3% versus 21% (p=0.03).
Why the study?
Does reinforcing the staple line of colorectal anastomosis reduce anastomotic leakage rate in patients undergoing anterior or low anterior resection of the rectum?
Population
74 patients who underwent anterior or low anterior resection of the rectum, mean age 63.0±11.0 years, 54.0%…
Comparison
Transanal and transabdominal reinforcing sutures… vs No reinforcing of the anastomosis line.
Design
RCT, prospective randomized trial
Authors
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Reinforcing colorectal anastomosis sutures under RCT evaluation; leaves open whether leakage rates decrease.
RCT (n=74)
Does reinforcing the staple line of colorectal anastomosis reduce anastomotic leakage rate in patients undergoing anterior or low anterior resection of the rectum?
Absolute Event Rate: 7% vs 26%
p-value: p=0.06
Reinforcing the staple line of colorectal anastomoses significantly decreases the clinical anastomotic leakage rate after low anterior resection.
Balkarov et al. (2018) conducted an RCT in Colorectal anastomosis after anterior or low anterior resection of the rectum (n=74). Reinforcing sutures of staple line of colorectal anastomosis vs. No reinforcing of the anastomosis line was evaluated on Anastomotic leakage rate (p=0.06). Reinforcing the staple line of colorectal anastomosis resulted in an overall anastomotic leakage rate of 7% versus 26% in controls (p=0.06), and a clinical leakage rate of 3% versus 21% (p=0.03).
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