Intestinal mucosa staple line integrity and anastomotic leak pressure after healing in a porcine model.
Anastomosis
Leak pressure
Mucosal suture
Porcine model
Stapler
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
25
12
2020
accepted:
07
02
2021
pubmed:
21
3
2021
medline:
29
12
2021
entrez:
20
3
2021
Statut:
ppublish
Résumé
The aim of this study was to evaluate both the intestinal mucosa staple line integrity and anastomotic leak pressure after healing in a porcine survival model. We used two suture models using two different size staples (incomplete mucosal closure model: group G [staple height 0.75 mm], complete mucosal closure model: group B [staple height 1.5 mm]) in the porcine ileum. Five staple lines were created in each group made in the ileum for each model, and the staple sites harvested on days 0, 2, and 7. The leak pressure at the staple site was measured at each time point. On day 0, the leak pressure for group G (79.5 mmHg) was significantly lower than that for group B (182.3 mmHg) (p < 0.01). On days 2 and 7, there was no significant difference between groups G and B (171 mmHg and 175.5 mmHg on day 2, 175.5 mmHg and 175.5 mmHg on day 7, p > 0.05). The histological findings in both groups showed similar healing at postoperative days 2 and 7. The integrity of the mucosal staple lines was associated with the postoperative leak pressure on day 0. However, there was no association with the leak pressure at two days or more postoperatively in a porcine model.
Identifiants
pubmed: 33743053
doi: 10.1007/s00595-021-02267-9
pii: 10.1007/s00595-021-02267-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1713-1719Informations de copyright
© 2021. Springer Nature Singapore Pte Ltd.
Références
Yamamoto S, Ito M, Okuda J, Fujii S, Yamaguchi S, Yoshimura K, et al. Laparoscopic surgery for stage 0/I rectal carcinoma: short-term outcomes of a single-arm phase II trial. Ann Surg. 2013;258:283–8.
doi: 10.1097/SLA.0b013e318283669c
Yamamoto S, Inomata M, Katayama H, Mizusawa J, Etoh T, Konishi F, et al. Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/III colon cancer: Japan Clinical Oncology Group Study JCOG 0404. Ann Surg. 2014;260:23–30.
doi: 10.1097/SLA.0000000000000499
Amri R, Bordeianou LG, Sylla P, Berger DL. Renewed assessment of the stapled anastomosis with the increasing role of laparoscopic colectomy for colon cancer. Surg Endosc. 2015;29:2675–82.
doi: 10.1007/s00464-014-3989-5
Choy PY, Bissett IP, Docherty JG, Parry BR, Merrie A, Fitzgerald A. Stapled versus handsewn methods for ileocolic anastomoses. Cochrane Database Syst Rev. 2011. https://doi.org/10.1002/14651858.CD004320.pub3 .
doi: 10.1002/14651858.CD004320.pub3
pubmed: 21901690
Morse BC, Simpson JP, Jones YR, Johnson BL, Knott BM, Kotrady JA. Determination of independent predictive factors for anastomotic leak: analysis of 682 intestinal anastomoses. Am J Surg. 2013;206:950–6.
doi: 10.1016/j.amjsurg.2013.07.017
Rutegard M, Rutegard J. Anastomotic leakage in rectal cancer surgery: the role of blood perfusion. World J Gastrointest Surg. 2015;7:289–92.
doi: 10.4240/wjgs.v7.i11.289
Watanabe J, Ishibe A, Suwa Y, Suwa H, Ota M, Kunisaki C, et al. Indocyanine green fluorescence imaging to reduce the risk of anastomotic leakage in laparoscopic low anterior resection for rectal cancer: a propensity score-matched cohort study. Surg Endosc. 2020;34:202–8.
doi: 10.1007/s00464-019-06751-9
Blanco-Colino R, Espin-Basany E. Intraoperative use of ICG fluorescence imaging to reduce the risk of anastomotic leakage in colorectal surgery: a systematic review and meta-analysis. Tech Coloproctol. 2018;22:15–23.
doi: 10.1007/s10151-017-1731-8
Du CZ, Fan ZH, Yang YF, Yuan P, Gu J. Value of intra-operative Doppler sonographic measurements in predicting post-operative anastomotic leakage in rectal cancer: a prospective pilot study. Chin Med J (Engl). 2019;132:2168–76.
doi: 10.1097/CM9.0000000000000410
Chen H, Cai HK, Tang YH. An updated meta-analysis of transanal drainage tube for prevention of anastomotic leak in anterior resection for rectal cancer. Surg Oncol. 2018;27:333–40.
doi: 10.1016/j.suronc.2018.05.018
Shada AL, Rosenberger LH, Mentrikoski MJ, Silva MA, Feldman SH, Kleiner DE. Endoluminal negative-pressure therapy for preventing rectal anastomotic leaks: a pilot study in a pig model. Surg Infect (Larchmt). 2014;15:123–30.
doi: 10.1089/sur.2012.198
Thompson SE, Young MT, Lewis MT, Boronyak SM, Clymer JW, Fegelman EJ, et al. Initial assessment of mucosal capture and leak pressure after gastrointestinal stapling in a porcine model. Obes Surg. 2018;28:3446–53.
doi: 10.1007/s11695-018-3363-0
Kanda Y. Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant. 2013;48:452–8.
doi: 10.1038/bmt.2012.244
Merkel S, Wang WY, Schmidt O, Dworak O, Wittekind C, Hohenberger W, et al. Locoregional recurrence in patients with anastomotic leakage after anterior resection for rectal carcinoma. Colorectal Dis. 2001;3:154–60.
doi: 10.1046/j.1463-1318.2001.00232.x
Bell SW, Walker KG, Rickard MJ, Sinclair G, Dent OF, Chapuis PH, et al. Anastomotic leakage after curative anterior resection results in a higher prevalence of local recurrence. Br J Surg. 2003;90:1261–6.
doi: 10.1002/bjs.4219
Nesbakken A, Nygaard K, Lunde OC. Outcome and late functional results after anastomotic leakage following mesorectal excision for rectal cancer. Br J Surg. 2001;88:400–4.
doi: 10.1046/j.1365-2168.2001.01719.x
Tanaka K, Okuda J, Yamamoto S, Ito M, Sakamoto K, Kokuba Y, et al. Risk factors for anastomotic leakage after laparoscopic surgery with the double stapling technique for stage 0/I rectal carcinoma: a subgroup analysis of a multicenter, single-arm phase II trial. Surg Today. 2017;47:1215–22.
doi: 10.1007/s00595-017-1496-8
Kimura M, Kuwabara Y, Taniwaki S, Mitsui A, Shibata Y, Ueno S. Improving the side-to-side stapled anastomosis: comparison of staplers for robust crotch formation. Surg Obes Relat Dis. 2018;14:16–21.
doi: 10.1016/j.soard.2017.09.532
Chekan E, Whelan RL. Surgical stapling device-tissue interactions: what surgeons need to know to improve patient outcomes. Med Devices (Auckl). 2014;7:305–18.
pmcid: 4168870
Ito M, Sugito M, Kobayashi A, Nishizawa Y, Tsunoda Y, Saito N. Relationship between multiple numbers of stapler firings during rectal division and anastomotic leakage after laparoscopic rectal resection. Int J Colorectal Dis. 2008;23:703–7.
doi: 10.1007/s00384-008-0470-8
Yamamoto S, Kanai T, Osumi K, Yo K, Takano K, Tsutsui M, et al. Anastomotic leakage using linear stapling device with pre-attached bioabsorbable polyglycolic acid felt after laparoscopic anterior resection. Anticancer Res. 2017;37:7083–6.
pubmed: 29187499
Naito M, Yamanashi T, Nakamura T, Miura H, Tsutsui A, Sato T, et al. Safety and efficacy of a novel linear staple device with bioabsorbable polyglicolic acid felt in laparoscopic colorectal surgery. Asian J Endosc Surg. 2017;10:35–9.
doi: 10.1111/ases.12314
Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M. The science of stapling and leaks. Obes Surg. 2004;14:1290–8.
doi: 10.1381/0960892042583888
Penninckx FM, Kerremans RP, Geboes KJ. The healing of single-and double-row stapled circular anastomoses. Dis Colon Rectum. 1984;27:714–9.
doi: 10.1007/BF02554594
Graffner H, Andersson L, Löwenhielm P, Walther B. The healing process of anastomoses of the colon. A comparative study using single, double-layer or stapled anastomosis. Dis Colon Rectum. 1984;27:767–71.
doi: 10.1007/BF02553934
Graffner H, Löwenhielm P, Walther B. The healing process in high and low anterior resection of the rectum. A comparative study in the pig, using stapling devices. Dis Colon Rectum. 1984;27:772–4.
doi: 10.1007/BF02553936
Coss-Adame E, Rao SS, Valestin J, Ali-Azamar A, Remes-Troche JM. Accuracy and reproducibility of high-definition anorectal manometry and pressure topography analyses in healthy subjects. Clin Gastroenterol Hepatol. 2015;13:1143–50.
doi: 10.1016/j.cgh.2014.12.034
Lee YY, Erdogan A, Yu S, Dewitt A, Rao SSC. Anorectal manometry in defecatory disorders: a comparative analysis of high-resolution pressure topography and waveform manometry. J Neurogastroenterol Motil. 2018;24:460–8.
doi: 10.5056/jnm17081
Nishigori H, Ito M, Nishizawa Y. A novel transanal tube designed to prevent anastomotic leakage after rectal cancer surgery: the WING DRAIN. Surg Today. 2017;47:513–20.
doi: 10.1007/s00595-016-1392-7
Nylund K, Hausken T, Ødegaard S, Eide GE, Gilja OH. Gastrointestinal wall thickness measured with transabdominal ultrasonography and its relationship to demographic factors in healthy subjects. Ultraschall Med. 2012;33:E225–32.
doi: 10.1055/s-0031-1299329
Higaki S, Nohara H, Saitoh Y, Akazawa A, Yanai H, Yoshida T, et al. Increased rectal wall thickness may predict relapse in ulcerative colitis: a pilot follow-up study by ultrasonographic colonoscopy. Endoscopy. 2002;34:212–9.
doi: 10.1055/s-2002-20293
Macari M, Balthazar EJ. CT of bowel wall thickening: significance and pitfalls of interpretation. Am J Roentgenol. 2001;176:1105–16.
doi: 10.2214/ajr.176.5.1761105