Abstract
A randomized study was carried out to compare the mid-term outcome of transanal rectal resection with the CCS-30 TRANSTAR and two TST36 staplers in patients with obstructed defecation syndrome. After selection, patients were randomly assigned to 2 groups:104 underwent a TRANSTAR operation and 104 a transanal rectal resection with two TST36 staplers. Patients were followed up with clinical examination, and defecography. Cumulative complication rate was significantly higher in TRANSTAR operation (P = 0.019). All symptoms and defecographic parameters significantly improved (P < 0.001), without differences. Costs were significantly lower with double TST (P = 0.035). Recurrence rates were 6.2% in TRANSTAR group and 11.4% with double TST (P = 0.206). Two circular TST 36 staplers consent to obtain the same clinical and functional results than the CCS-30, with significantly lower complication rate and costs.
| Original language | English |
|---|---|
| Pages (from-to) | 893-899 |
| Journal | American Journal of Surgery |
| Volume | 216 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- Curved CCS-30 Transtar stapler
- Double circular TST36 stapler
- Obstructed defecation
ASJC Scopus subject areas
- Surgery
Cite this
The evolution of transanal surgery for obstructed defecation syndrome : Mid-term results from a randomized study comparing double TST 36 HV and Contour TRANSTAR staplers. / Boccasanta, Paolo; Agradi, Sergio; Vergani, Contardo; Calabrò, Giuseppe; Bordoni, Luca; Missaglia, Claudio; Venturi, Marco.
In: American Journal of Surgery, Vol. 216, No. 5, 2018, p. 893-899.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The evolution of transanal surgery for obstructed defecation syndrome
T2 - Mid-term results from a randomized study comparing double TST 36 HV and Contour TRANSTAR staplers
AU - Boccasanta, Paolo
AU - Agradi, Sergio
AU - Vergani, Contardo
AU - Calabrò, Giuseppe
AU - Bordoni, Luca
AU - Missaglia, Claudio
AU - Venturi, Marco
PY - 2018
Y1 - 2018
N2 - A randomized study was carried out to compare the mid-term outcome of transanal rectal resection with the CCS-30 TRANSTAR and two TST36 staplers in patients with obstructed defecation syndrome. After selection, patients were randomly assigned to 2 groups:104 underwent a TRANSTAR operation and 104 a transanal rectal resection with two TST36 staplers. Patients were followed up with clinical examination, and defecography. Cumulative complication rate was significantly higher in TRANSTAR operation (P = 0.019). All symptoms and defecographic parameters significantly improved (P < 0.001), without differences. Costs were significantly lower with double TST (P = 0.035). Recurrence rates were 6.2% in TRANSTAR group and 11.4% with double TST (P = 0.206). Two circular TST 36 staplers consent to obtain the same clinical and functional results than the CCS-30, with significantly lower complication rate and costs.
AB - A randomized study was carried out to compare the mid-term outcome of transanal rectal resection with the CCS-30 TRANSTAR and two TST36 staplers in patients with obstructed defecation syndrome. After selection, patients were randomly assigned to 2 groups:104 underwent a TRANSTAR operation and 104 a transanal rectal resection with two TST36 staplers. Patients were followed up with clinical examination, and defecography. Cumulative complication rate was significantly higher in TRANSTAR operation (P = 0.019). All symptoms and defecographic parameters significantly improved (P < 0.001), without differences. Costs were significantly lower with double TST (P = 0.035). Recurrence rates were 6.2% in TRANSTAR group and 11.4% with double TST (P = 0.206). Two circular TST 36 staplers consent to obtain the same clinical and functional results than the CCS-30, with significantly lower complication rate and costs.
KW - Curved CCS-30 Transtar stapler
KW - Double circular TST36 stapler
KW - Obstructed defecation
UR - http://www.scopus.com/inward/record.url?scp=85042482322&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042482322&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2018.01.074
DO - 10.1016/j.amjsurg.2018.01.074
M3 - Article
AN - SCOPUS:85042482322
VL - 216
SP - 893
EP - 899
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 5
ER -