The objectiive of this prospective, international cohort is to compare two anastomotic techniques (DS vs TTSS) by collecting data during the surgery, and postoperatively (morbidity and functional outcomes).
The choice of technique is left to the discretion of the surgeon based on her/his practices.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age ≥ 18
* Patients with rectal cancer lower than 12 cm from the anal verge requiring either a stapling anastomosis below 7 cm from the anal verge,
* Patients with powered mechanical anastomosis (INTOCARE devices)
* Patients with no metastasis
* Patients operated on by mini-invasive rectal excision (laparoscopic, robotic or TaTME);
* Patients with or without defunctioning ileostomy;
* Patients with or without neoadjuvant treatment;
* Patient who benefits by medicare system;
* Signed and dated informed consent
Exclusion Criteria:
* Patients with handsewn anastomosis
* Patients with perforated rectal cancer or preoperative pelvic sepsis ;
* Patients with inflammatory bowel disease;
* Patients operated on in emergency ;
* Patients with extended-TME or pelvic exenteration;
* Pregnancy or breast feeding period
* Legal incapacity or physical, psychological social or geographical status interfering with the patient's ability to agree to participate in the study
* Persons deprived of liberty or under guardianship
Primary outcome measure(s)
To assess and compare the rate of anastomotic leakage at 1 month after rectal excision between double and single-stapling low colorectal anastomosis using advanced powered stapler — From the surgery to one month Proportion of anastomotic leakage (clinical and radiological) at 1 month after rectal surgery between double- and single-stapling low colorectal anastomosis using advanced powered stapler.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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