대한대장항문학회

Purpose : Since its introduction by Knight and Griffen in 1980, the double stapling<br>technique has gained widespread popularity in performing the low anterior resection for the<br>rectal cancer. But their effectiveness is not clear. The purpose of this study is to evaluate the<br>usefulness of the low anterior resection using the double stapling technique for rectal cancer<br>in an oncological, technical standpoints. Methods : Perioperative and follow up data were<br>retrospectively reviewed in all patients undergoing the low anterior resection using the double<br>stapling technique by same surgeons for rectal cancer over a 2.5 year period. Results : Thirty<br>two rectal cancer patients had double stapling technique anastomoses. There was no<br>postoperative mortality. Intraoperative complications including rectal wall tearing, incomplete<br>doughnuts, misfiring and extraction related problems occurred in 9 of 32 patients (28.2%).<br>Early and late postoperative complications occurred in 9 (28.8%) and 8 (24.9%) of 32 patients.<br>Early anastomotic leak developed in 1 patient (3.1%) and anastomotic site bleeding developed<br>in 2 patient (6.3%). Lately, the local recurrence occurred in 3 patients (9.3%) and anastomotic<br>site stricture occurred in 3 patients (9.3%). Conclusions : The low anterior resection using the<br>double stapling technique has relatively low rate of leakage, stricture, local recurrence. The<br>double stapling technique can be performed for mid or low rectal cancer with greater safety<br>and facility.<br>