Fabio Carbone, Colorectal Surgeon at IRCCS National Cancer Institute G. Pascale Foundation, Naples, Italy, shared on LinkedIn:
“Just published in Surgery!
Pleased to share our new systematic review and meta-analysis comparing single-stapled (SSA) versus double-stapled (DSA) colorectal anastomosis after anterior resection.
13 comparative studies | 2,537 patients
- Anastomotic leak: RR 0.77 (95% CI 0.46-1.31)
- Major complications: RR 0.67 (95% CI 0.37-1.20)
- No relevant difference in major LARS

Overall, SSA appears to be a safe and technically appealing alternative to conventional DSA, although current evidence does not demonstrate superiority of either technique.
Further high-quality, multicentre randomised trials are needed to define whether avoiding crossing staple lines translates into meaningful clinical benefit.”
Title: Single-stapled versus double-stapled colorectal anastomosis after anterior resection: Systematic review and meta-analysis of short-term and functional outcomes
Authors: Antonio Luberto, Fabio Carbone, Daniela Rega, Massimiliano Di Marzo, Caterina Foppa, Antonino Spinelli, Paolo Delrio
Read The Full Article
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