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Balkarov A.A.

Ryzhikh State Research Centre for Coloproctology, Moscow, Russia

Ponomarenko A.A.

Ryzhikh State Research Center for Coloproctology, 123423, Moscow, Russia

Alekseev M.V.

Ryzhikh State Medical Coloproctology Center of Healthcare Ministry of Russia, Moscow, Russian Federation;
Russian Medical Academy of Continuing Professional Education of Healthcare Ministry of Russia, Moscow, Russian Federation

Rybakov E.G.

State Scientific Centre of Coloproctology named after A.N. Ryzhykh, Moscow, Russia

Frolov S.A.

Gosudarstvennyĭ nauchnyĭ tsentr koloproktologii Minzdravsotsrazvitiia RF, Moskva

Reinforcement of staple line of colorectal anastomosis for leakage prevention: a systematic review and metaanalysis

Authors:

Balkarov A.A., Ponomarenko A.A., Alekseev M.V., Rybakov E.G., Frolov S.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(8): 53‑58

DOI: 10.17116/hirurgia201908153

Read: 1424 times

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Table of contents

REINFORCEMENT OF STAPLE LINE OF COLORECTAL ANASTOMOSIS FOR LEAKAGE PREVENTION: A SYSTEMATIC REVIEW AND METAANALYSIS
REINFORCEMENT OF STAPLE LINE OF COLORECTAL ANASTOMOSIS FOR LEAKAGE PREVENTION: A SYSTEMATIC REVIEW AND METAANALYSIS

To cite this article:

Balkarov AA, Ponomarenko AA, Alekseev MV, Rybakov EG, Frolov SA. Reinforcement of staple line of colorectal anastomosis for leakage prevention: a systematic review and metaanalysis. Pirogov Russian Journal of Surgery. 2019;(8):53‑58. (In Russ.)
https://doi.org/10.17116/hirurgia201908153

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Objective — to evaluate the influence of reinforcement of staple line of colorectal anastomosis on the incidence of leakage. Material and methods. A systematic review was performed in accordance with the PRISMA recommendations. Statistical analysis was carried out in the Review Manager 5.3 software. Results. This trial included four original articles published in 2011—2018. There were 493 patients. Reinforcement of anastomosis was made in 232 (47%) cases, colorectal anastomosis was not reinforced in 261 (53%) patients. Anastomotic leakage rate was 5.6 and 11.1% in both groups, respectively (OR 0.55, CI 0.13—2.33; p=0.42). Transabdominal reinforcement reduced leakage rate by 10.2% (OR 0.18, CI 0.06—0.55; p=0.002) while transanal reinforcement was ineffective (OR 1.66, CI 0.38—7.19; p=0,5). Incidence of preventive stoma was similar (OR 0.3, CI 0.07—1.22; p=0.09), but it was possible to abandon preventive stoma in 18% of cases after anastomotic reinforcement. Conclusion. A small number of studies dedicated to anastomosis reinforcement resulted controversial data.

Keywords:

reinforcement of anastomosis
colorectal anastomosis
leakage

Authors:

Balkarov A.A.

Ryzhikh State Research Centre for Coloproctology, Moscow, Russia

Ponomarenko A.A.

Ryzhikh State Research Center for Coloproctology, 123423, Moscow, Russia

Alekseev M.V.

Ryzhikh State Medical Coloproctology Center of Healthcare Ministry of Russia, Moscow, Russian Federation;
Russian Medical Academy of Continuing Professional Education of Healthcare Ministry of Russia, Moscow, Russian Federation

Rybakov E.G.

State Scientific Centre of Coloproctology named after A.N. Ryzhykh, Moscow, Russia

Frolov S.A.

Gosudarstvennyĭ nauchnyĭ tsentr koloproktologii Minzdravsotsrazvitiia RF, Moskva

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