Abstract
The evaluation of preventive measures and risk factors for anastomotic leakage has
been a constant concern among colorectal surgeons. In this context, the description
of a new way to perform a colorectal, coloanal or ileoanal anastomosis, known as transanal
transection and single-stapled (TTSS) anastomosis, deserves an appreciation of its
qualities, and a discussion about its properties and technical details. In the present
paper, the authors review the most recent efforts aiming to reduce anastomotic dehiscence,
and describe the TTSS technique in a patient submitted to laparoscopic total proctocolectomy
with ileal pouch-anal anastomosis for familial adenomatous polyposis. Surgical perception
raises important advantages such as distal rectal transection under visualization,
elimination of double-stapling lines (with cost-effectiveness and potential protection
against suture dehiscence), elimination of dog ears, and the opportunity to be accomplished
via a transanal approach after open, laparoscopic, or robotic colorectal resections.
Future studies to confirm these supposed advantages are needed.
Keywords
colorectal anastomosis - rectal resection - single-stapled - transanal - transection
