Usefulness of a powered circular stapler compared with a manual circular stapler in patients undergoing colorectal cancer surgery: A retrospective cohort study and systematic review

Mizumoto,Rie; Miyoshi,Norikatsu; Hayashi,Rie; Kato,Shinya; Minami,Soichiro; Takeda,Mitsunobu; Sekido,Yuki; Hata,Tsuyoshi; Hamabe,Atsushi; Ogino,Takayuki; Tei,Mitsuyoshi; Kagawa,Yoshinori; Uemura,Mamoru; Doki,Yuichiro; Eguchi,Hidetoshi

doi:10.3892/ol.2024.14640

November-2024 Volume 28 Issue 5

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

November-2024 Volume 28 Issue 5

Full Size Image

Article Open Access

Usefulness of a powered circular stapler compared with a manual circular stapler in patients undergoing colorectal cancer surgery: A retrospective cohort study and systematic review

Authors:
- Rie Mizumoto
- Norikatsu Miyoshi
- Rie Hayashi
- Shinya Kato
- Soichiro Minami
- Mitsunobu Takeda
- Yuki Sekido
- Tsuyoshi Hata
- Atsushi Hamabe
- Takayuki Ogino
- Mitsuyoshi Tei
- Yoshinori Kagawa
- Mamoru Uemura
- Yuichiro Doki
- Hidetoshi Eguchi
View Affiliations / Copyright

Affiliations: Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Osaka 565‑0871, Japan, Department of Gastroenterological Surgery, Osaka Rosai Hospital, Sakai, Osaka 591‑8025, Japan, Department of Gastroenterological Surgery, Osaka General Medical Center, Osaka, Osaka 558‑8558, Japan

Copyright: © Mizumoto et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 507
|
Published online on: August 22, 2024

https://doi.org/10.3892/ol.2024.14640
Expand metrics +

Abstract

Postoperative complications related to anastomosis, including postoperative anastomotic bleeding and anastomotic leakage, remain a serious issue. The effect of anastomotic devices on suture complications during intestinal anastomosis remains unclear. The present study examined the utility of automated anastomotic devices for reducing anastomotic complication risks. A retrospective cohort study of colorectal cancer surgeries in which an anastomosis device was used at Osaka University Hospital (Suita, Japan) between January 2018 and December 2022 was conducted. Cases of emergency surgery, inflammatory bowel disease and simultaneous surgery for other cancers were excluded. Experienced gastrointestinal surgeons performed manual anastomosis using the ETHICON Circular Stapler CDH or EEA Circular Stapler, and automatic anastomosis using the ECHELON CIRCULAR Powered Stapler, with no observed operator bias. Additionally, a meta‑analysis that included other study results was performed. The outcomes included postoperative complications, mainly anastomotic leakage. The study included 414 patients: 231 in the manual circular stapler group and 183 in the powered circular stapler (PCS) group. Although this retrospective study found no statistically significant association between the anastomotic device used and anastomotic complications, an increased risk ratio was observed in the manual group compared with the automatic group when restricted to elderly patients. Similarly, a meta‑analysis found a significantly higher anastomotic complication risk in the manual group compared with the automatic group (random‑effects model; odds ratio, 0.376; 95% confidence interval, 0.232‑0.610; P<0.0001). The findings of the present study suggested that a PCS is useful for reducing the anastomotic complication risk in patients undergoing colorectal cancer surgery.

View Figures

View References

1	Mirnezami A, Mirnezami R, Chandrakumaran K, Sasapu K, Sagar P and Finan P: Increased local recurrence and reduced survival from colorectal cancer following anastomotic leak: Systematic review and meta-analysis. Ann Surg. 253:890–899. 2011. View Article : Google Scholar : PubMed/NCBI
2	Matsuda C, Kudo T, Morimoto Y, Kagawa Y, Tei M, Ide Y, Miyoshi N, Takahashi H, Uemura M, Takemasa I, et al: A phase II study of neoadjuvant capecitabine, oxaliplatin, and irinotecan (XELOXIRI) in patients with locally advanced rectal cancer. Ann Gastroenterol Surg. 7:81–90. 2022. View Article : Google Scholar : PubMed/NCBI
3	2017 European Society of Coloproctology (ESCP) collaborating Group, : Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: An international, multi-centre, prospective audit. Colorectal Dis. 20 (Suppl 6):S15–S32. 2018. View Article : Google Scholar
4	Lauricella S, Peyser D, Carrano FM and Sylla P: Intraluminal anastomotic assessment using indocyanine green near-infrared imaging for left-sided colonic and rectal resections: A systematic review. J Gastrointest Surg. 27:615–625. 2023. View Article : Google Scholar : PubMed/NCBI
5	Tsalikidis C, Mitsala A, Mentonis VI, Romanidis K, Pappas-Gogos G, Tsaroucha AK and Pitiakoudis M: Predictive Factors for Anastomotic Leakage Following Colorectal Cancer Surgery: Where Are We and Where Are We Going? Curr Oncol. 30:3111–3137. 2023. View Article : Google Scholar : PubMed/NCBI
6	Guo C, Fu Z, Qing X and Deng M: Prophylactic transanal drainage tube placement for preventing anastomotic leakage after anterior resection for rectal cancer: A meta-analysis. Colorectal Dis. 24:1273–1284. 2022. View Article : Google Scholar : PubMed/NCBI
7	Shibutani M, Fukuoka T, Iseki Y, Kasashima H, Kitayama K and Maeda K: Impact of a circular powered stapler on preventing anastomotic leakage in patients with left-sided colorectal cancer: A retrospective study. BMC Surg. 23:2052023. View Article : Google Scholar : PubMed/NCBI
8	Sylla P, Sagar P, Johnston SS, Dwarakanathan HR, Waggoner JR, Schwiers M and Roy S: Outcomes associated with the use of a new powered circular stapler for left-sided colorectal reconstructions: A propensity score matching-adjusted indirect comparison with manual circular staplers. Surg Endosc. 36:2541–2553. 2022. View Article : Google Scholar : PubMed/NCBI
9	Nanishi K, Hino H, Shiomi A, Kagawa H, Manabe S, Yamaoka Y, Chen K and Maeda C: Use of a Powered Circular Stapler Can Prevent Anastomotic Air Leakage in Robotic Low Anterior Resection for Rectal Cancer. J Anus Rectum Colon. 7:82–90. 2023. View Article : Google Scholar : PubMed/NCBI
10	Pla-Martí V, Martín-Arévalo J, Moro-Valdezate D, García-Botello S, Mora-Oliver I, Gadea-Mateo R, Cozar-Lozano C and Espí-Macías A: Impact of the novel powered circular stapler on risk of anastomotic leakage in colorectal anastomosis: A propensity score-matched study. Tech Coloproctol. 25:279–284. 2021. View Article : Google Scholar : PubMed/NCBI
11	Vignali A, Gozzini L, Gasparini G, Calef R, Rosati R and Elmore U: Impact of powered circular stapler on anastomotic leak after anastomosis to the rectum: A propensity score matched study. Int J Colorectal Dis. 38:2112023. View Article : Google Scholar : PubMed/NCBI
12	Fujino S, Yasui M, Ohue M and Miyoshi N: Efficacy of transanal drainage tube in preventing anastomotic leakage after surgery for rectal cancer: A meta-analysis. World J Gastrointest Surg. 15:1202–1210. 2023. View Article : Google Scholar : PubMed/NCBI
13	Griffen FD and Knight CD Sr, Whitaker JM and Knight CD Sr: The double stapling technique for low anterior resection. Results, modifications, and observations. Ann Surg. 211:745–751; discussion 751-2. 1990. View Article : Google Scholar : PubMed/NCBI
14	Rojatkar P, Henderson CE, Hall S, Jenkins SA, Paulin-Curlee GG, Clymer JW and Nagle DA: A novel powered circular stapler designed for creating secure anastomoses. Med Device Diagn Eng. 2:94–100. 2017. View Article : Google Scholar
15	Kono E, Tada M, Kouchi M, Endo Y, Tomizawa Y, Matsuo T and Nomura S: Ergonomic evaluation of a mechanical anastomotic stapler used by Japanese surgeons. Surg Today. 44:1040–1047. 2014. View Article : Google Scholar : PubMed/NCBI
16	Kasai R, Mizushima I, Muto T, Matsuo T, Tomizawa Y and Takeda S: Ergonomic Assessment of a Laparoscopic Stapler. Adv Biomed Eng. 2:11–16. 2013. View Article : Google Scholar

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Usefulness of a powered circular stapler compared with a manual circular stapler in patients undergoing colorectal cancer surgery: A retrospective cohort study and systematic review

This article is mentioned in:

Abstract

Related Articles