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Triangulating stapling technique: An alternative approach to colorectal anastomosis
Authors:Dr. K. S. Venkatesh M.D.  N. Morrison M.D.  D. M. Larson M.D.  P. Ramanujam M.D.
Affiliation:(1) Surgical Department, Mesa Lutheran Hospital, Mesa, Arizona;(2) Tri-City Colo-Rectal Surgery, 546 North Vineyard, 85201 Mesa, Arizona
Abstract:The triangulating stapling technique was employed to perform colorectal anastomosis in 259 patients. In 220 patients, the anastomosis was performed between the colon and nonperitonealized rectum. This anastomotic technique is safe and reliable and is an effective alternative to a circular stapling device, with minimal morbidity. The incidence of leak rate is comparable to anastomoses created by a circular stapling device. The main advantage seems to be the very low incidence of anastomotic stenosis.
Keywords:Low anterior anastomosis  Triangulating stapled anastomosis  Anastomotic leak  Stenosis  Surgical technique  Gastrointestinal anastomosis
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