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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2022; 14(8): 821-832
Published online Aug 27, 2022. doi: 10.4240/wjgs.v14.i8.821
Published online Aug 27, 2022. doi: 10.4240/wjgs.v14.i8.821
Efficacy of staple line reinforcement by barbed suture for preventing anastomotic leakage in laparoscopic rectal cancer surgery
Bo Ban, An Shang, Jian Shi, Department of General Surgery, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Author contributions: Ban B designed the research and wrote the manuscript; Shi J designed the research and supervised the manuscript; Shang A performed the research and contributed to the statistical analysis.
Supported by Science and Technology Development Project of Jilin Province , China, No. 2020SCZT079.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of The Second Hospital of Jilin University.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Shi, MD, PhD, Associate Chief Physician, Associate Professor, Department of General Surgery, The Second Hospital of Jilin University, No. 218 Ziqiang Street, Nanguan District, Changchun 130041, Jilin Province, China. 383888697@qq.com
Received: April 22, 2022
Peer-review started: April 22, 2022
First decision: June 19, 2022
Revised: June 28, 2022
Accepted: July 26, 2022
Article in press: July 26, 2022
Published online: August 27, 2022
Peer-review started: April 22, 2022
First decision: June 19, 2022
Revised: June 28, 2022
Accepted: July 26, 2022
Article in press: July 26, 2022
Published online: August 27, 2022
Core Tip
Core Tip: Double stapling technique (DST) has been extensively applied in rectal surgery. However, the drawbacks of DST cannot be ignored, particularly because the linear cutter application as the distal rectum incision is not completely matched with a circular incision in the proximal intestinal tract. This leads to crossing at least two staple lines, which is referred as the “dog ear” structure. Some studies have reported that such intersection induced the vulnerable area causing anastomotic leakage (AL). This study was aimed to investigate the efficacy of reinforcing anastomosis with barbed suture in preventing AL after laparoscopic DST, and evaluate its feasibility and safety.