Fact or fiction? Does the position of the end-to-end (EEA) stapler spike matter for colorectal anastomoses using a double-stapled technique?
Paul CavallaroGrace C LeeArielle KantersMichael ValenteStefan D HolubarBradley ChampagneDavid RosenEmre GorgunScott SteelePublished in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2023)
For anastomoses with crossing staple lines, the position of the stapler spike relative to the rectal staple line is not associated with differences in anastomotic integrity. In contrast, anastomoses with no crossing staple lines resulted in significantly lower rates of poor anastomotic integrity, but no difference in clinical leaks.