• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Does triple-rowed staples confer additional safety? – A matched comparison of 340 stapled ileocolic anastomosis

Does triple-rowed staples confer additional safety? – A matched comparison of 340 stapled ileocolic anastomosis

Dominic Foo, Jeremy Yip, A Chiu, Wai Lun Law. The University of Hong Kong

Background: Over the past few decades, studies have focused on the efficacy of stapled anastomosis, especially when compared to the hand sewn technique. There were, however, very limited studies focusing on improvement in stapling technique. This study aimed to ascertain whether triple-rowed staples (tri-staples) have any advantage over double-rowed staples.

Method: There were 563 consecutive cases of stapled functional end-to-end ileocolic anastomosis performed in two centers from 2005 to 2015. Data were retrieved from a prospectively kept database. 389 and 174 of these anastomoses were performed with double-rowed (DS) and triple-rowed staples (TS) respectively. 170 cases were chosen from each group by propensity score matching, taking the following into account: age, gender, ASA, co-morbidities, previous cancer and abdominal surgery, serum biochemistry, malignant pathology, perforated or obstructed tumor, stage of the disease, type and approach of surgery. The rate of anastomotic leakage, bleeding, re-operation and 30-day mortality rate was compared.

Results: After prospensity score matching, both groups showed comparable baseline characteristics. The anastomotic leakage rate was 2.4% and 0% (p=0.123), the anastomotic bleeding rate was 1.2% and 0% (p=0.499) and the intra-abdominal collection rate was 3.5% and 1.2% (p=0.283) for DS and TS respectively. The re-operation rate was 5.9% and 1.8% (p=0.048) and 30-day mortality was 0.6% and 1.2% (p=1.000) for DS and TS respectively. The hospital stay was 9.2 ± 15.0 and 7.3 ± 5.3 (p=0.114) for DS and TS respectively.

Conclusion: Triple-rowed staples did not have significant advantage over double-rowed staples in this study.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78635

Program Number: S044

Presentation Session: Colorectal 1

Presentation Type: Podium

47

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals