Multiple Firings in Double-stapled Colorectal Anastomosis

Risk Factors for the Usage of ≥3 Linear Stapler Cartridges During Double Stapling Anastomosis in Laparoscopic Low Anterior Resection of Rectal Cancer

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05498506

Enrollment

350

Registered

2022-08-12

Start date

2022-12-01

Completion date

2023-01-31

Last updated

2024-02-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Rectal Cancer

Brief summary

Multiple linear stapler firings during double stapling technique (DST) is associated with anastomotic leakage (AL) after laparoscopic low anterior resection (LAR). We aim to investigate the risk factors and then to develop a deep learning model to predict the usage of ≥3 linear stapler cartridges during DST anastomosis.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* 1\) carcinoma of rectum confirmed by histopathological evaluation; * 2\) tumor located in the mid-low rectum (less than 10cm from the anal verge); * 3\) performance of DST anastomosis; * 4\) pelvic MRI obtained within 14 days before surgery.

Exclusion criteria

* 1\) other anastomotic techniques (e.g., trans-anal rectal excision); * 2\) Hartmann's operation or other procedures without anastomosis; * 3\) the number of linear stapler cartridges was not traceable in the operative report.

Design outcomes

Primary

Measure	Time frame	Description
the number of linear stapler cartridges	during surgery	the number of linear stapler cartridges used during DST anastomosis

Countries

China

Outcome results