Stapled anastomosis in colorectal surgery

Abstract

The experience with stapled anastomosis in colorectal and ileorectal resections for malignant and benign lesions of the large bowel is reviewed. The technique and results in 49 patients (24 with cancer of the rectum and rectosigmoid junction; 6 with familial polyposis, associated with cancer in 4; 12 with chagastic megacolon; 3, Crohn''s disease; 2, ulcerative colitis; and 1 each, diverticular sigmoiditis and ischemic sigmoiditis), are described. Anterior resection was performed in 38 patients and total colectomy with ileorectal anastomosis in 11. Main complications and mortality are presented. Stapled anastomosis is evidently an efficient method for intestinal reconstruction after resection for malignant and benign lesions of the large bowel.