Laparoskopik cerrahide izoperistaltik intra-korporeal çift lineer stapler anastomoz: Erken oral beslenme; hızlı, kolay ve güvenilir teknik

Background and Aims: Minimally invasive surgery is associated with short-term recovery and better functional results in gastrointestinal sys-tem cancer surgery. It is applied in gastric and colon cancer surgery without compromising long-term oncological results. This study exam- ines patients who underwent anastomosis with the double linear stapler technique with isoperistaltic intracorporeal ileocolic and isoperistaltic colocolic anastomosis after laparoscopic radical distal Billroth 2 and laparoscopic right-left hemicolectomy. Material and Method: Thirteen patients who underwent anastomosis with the double linear stapler technique in our clinic between December 2019 and March 2021 were included in this study. All procedures were performed entirely laparoscopically, and anastomoses were completed intracorporeally with the assistance of a stapler. Results: The mean age of 13 patients in whom we performed the described anastomosis was 51.31 ± 16.84 years. Ten (76.9%) patients were male, and three (23.1%) were female. The median duration of the anastomosis was 12.38 ± 3.09 minutes. The median operation time was 13 minutes (min-max) (8–19 minutes). While no perioperative complications developed in 12 (92.3%) patients during anastomosis, perioperative intraluminal hemorrhage was observed in one (7.7%) patient. This hemorrhage was treated medically with fol-low-up. No relaparotomy was required for any patient. Conclusion: This stapler anastomosis technique can be performed quickly and easily in the reconstruction phase after laparoscopy. We think it can be done safely concerning anastomotic leakage.