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Session: ePoster: Benign Abdominal 6 (Mon8)

EP606 - End-to-Side Colorectal Stapler Anastomosis (reverse-Baker) as a Safe and Acceptable Alternative Following Colorectal Resection. A Single Institution Experience

Monday, May 12, 2025
8:38 AM – 8:43 AM PT
Location: Monitor 1, Sails Pavilion, Upper Level

    ePoster Presenter(s)

  • Francisco M. Abarca-Rendon (he/him/his)

    COLON AND RECTAL SURGEON
    OMNI HOSPITAL
    guayaquil, Guayas, Ecuador

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Senior Author(s)

  • FA

    Francisco Abarca Aguilar, n/a

    COLON AND RECTAL SURGEON
    OMNI HOSPITAL
    guayaquil, Guayas, Ecuador

    All of the relevant financial relationships listed below have been mitigated.
    This individual has no financial relationships with ineligible companies.

    • Author(s)

  • GP

    GUILLERMO PEREZ, n/a

    COLON AND RECTAL SURGEON
    OMNI HOSPITAL
    guayaquil, Guayas, Ecuador

    Disclosure information not submitted.

  • GA

    GUIDO AGUILERA, n/a

    ANESTHESIOLOGIST
    OMNI HOSPITAL
    guayaquil, Guayas, Ecuador

    Disclosure information not submitted.

All of the relevant financial relationships listed below have been mitigated.
Francisco M. Abarca-Rendon: This individual has no financial relationships with ineligible companies.
Francisco Abarca Aguilar, n/a: This individual has no financial relationships with ineligible companies.
Image or Table (Do Not add text here):

Purpose/Background:

Background: Traditionally, straight end-to-end colorectal anastomosis has been the main anastomotic method following colorectal resection, but in some cases the end-to-end (EEA) stapler will not reach the stapled rectal cuff, or in some cases surgeons need to improvise to perform a perfect colorectal anastomosis.

Objective: To evaluate the safety of end-to-side colorectal stapler anastomosis after colorectal resection.

Methods/Interventions:

Design: Retrospective, single arm

SETTINGS: This study was conducted at a single tertiary center.

PATIENTS: All patients with any left-sided colorectal resection and end-to-side stapler colorectal anastomosis regardless of the indications from July 2023 to July 2024 were included.

MAIN OUTCOME MEASURES: Primary endpoint was safety of end-to-side stapler colorectal anastomosis following colorectal resection.

Results/Outcomes:

Results: 50 patients underwent end-to-side stapler colorectal anastomosis. The mean age was 54.6 years. 58% were females. The indications for colorectal resection were diverticulitis (46%), colon cancer (32%), rectal cancer (14%), perforation (8%). Open surgery was performed in 18 (36%) cases and laparoscopic surgery was performed in 32 (64%) cases. A 29 mm EEA was used for all colorectal anastomosis. Of all 50 patients, only 9 (18%) had complications; of these, 4% had anastomosis related complications (clinical leaks), other complications include ileus (10%), SSI (2%) and hematoma (2%). Only 5 patients had proximal diversion. Mean length of stay after surgery was 4.24 days.

LIMITATIONS: This is a non-randomized retrospective study, single institution experience.

Conclusion/Discussion:

Conclusions: Our study concludes that end-to-side colorectal stapler anastomosis (reverse-baker) is a safe alternative following colorectal resection, with low complication rates, especially with the benefit of no-crossing staples lines.