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DST anastomosis for colon or rectal surgery with polyglycolic acid sheet reduces anastomotic leakage rate
![DST anastomosis for colon or rectal surgery with polyglycolic acid sheet reduces anastomotic leakage rate DST anastomosis for colon or rectal surgery with polyglycolic acid sheet reduces anastomotic leakage rate](https://medicaldialogues.in/h-upload/2023/06/02/750x450_211044-rectal-surgery.webp)
DST anastomosis for colon or rectal surgery with polyglycolic acid sheet reduces anastomotic leakage rate suggests a new study published in the BMC Surgery
A study was dont to prevent anastomotic leakage in patients with left-sided colorectal cancer who underwent double-stapling technique (DST) anastomosis, we investigated a new method: DST anastomosis with a polyglycolic acid (PGA) sheet. This procedure has been shown to have the potential to decrease the rate of anastomotic leakage. However, due to the small number of cases enrolled in our previous study, it was not possible to compare the outcomes of the new and conventional procedures. The aim of this study was to evaluate the effect of the PGA sheet on preventing anastomotic leakage in patients with left-sided colorectal cancer who underwent DST anastomosis by retrospectively comparing the anastomotic leakage rate between the PGA sheet and conventional groups.
A total of 356 patients with left-sided colorectal cancer who underwent DST anastomosis during surgery at Osaka City University Hospital between January 2016 and April 2022 were enrolled in this study. Propensity score matching was performed to reduce the confounding effects secondary to imbalances in the use of PGA sheets.
Results
The PGA sheet was used in 43 cases (PGA sheet group) and it was not used in 313 cases (conventional group). After propensity score matching, the incidence of anastomotic leakage in the PGA sheet group was significantly lower than that in the conventional group.
DST anastomosis with PGA sheet, which is easy to perform, contributes to the reduction of anastomotic leakage rate by increasing the strength of the anastomotic site.
Reference:
Shibutani, M., Fukuoka, T., Iseki, Y. et al. Efficacy of the polyglycolic acid sheet for preventing anastomotic leakage in double-stapling technique anastomosis for left-sided colon or rectal cancer surgery: a propensity score-matched study. BMC Surg 23, 135 (2023). https://doi.org/10.1186/s12893-023-02044-0
Keywords:
DST, anastomosis, colon, rectal surgery, polyglycolic acid sheet, reduces, anastomotic, leakage rate, BMC Surgery, Shibutani, M., Fukuoka, T., Iseki, Y.
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751