{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:07:29Z","timestamp":1789531649817,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Staplers used in ileocolic anastomosis construction differ in length and height. We assessed the impact of stapler type in creating ileocolic anastomoses on postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study of an Institutional Review Board approved database included patients who underwent laparoscopic right colectomy for cancer between January 2011 and August 2021. All patients had construction of extracorporeal antiperistaltic stapled ileocolic anastomosis using a linear cutting stapler. Main outcome measures were short\u2010term (&lt;30\u2009day) morbidity and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 270 patients (136 men; median age 70.2\u2009years) were included. A 75 mm stapler was used in 49 (18.1%) patients, 80\u2009mm in 97 (35.9%) and 100\u2009mm in 124 (45.9%). Blue cartridge (stapler height 3.5\u2009mm) was used in 175 (64.5%) and green cartridge (4.8\u2009mm) in 18 (7%) patients; this information was unavailable in 77 (28.5%) cases. Apical enterotomy closure was performed by linear stapler in 54% and linear cutting stapler in 46%. Apical staple line reinforcement or imbrication suturing was used in 26.3%. The overall postoperative complication rate was 28.9%. The anastomotic leak rate was 2.6%. Independent predictors of complications after laparoscopic right colectomy were older age (OR 1.03, 95%CI 1\u20131.06; <jats:italic>P<\/jats:italic>\u2009=\u20090.01), extended colectomy (OR 2.76, 95%CI 1.07\u20137.08; <jats:italic>P<\/jats:italic>\u2009=\u20090.035) and emergency surgery (OR 4.5, 95%CI 1.3\u201314.9; <jats:italic>P<\/jats:italic>\u2009=\u20090.014). A 100\u2010mm linear cutting stapler was an independent protective factor against postoperative complications (OR 0.3, 95%CI 0.18\u20130.85; <jats:italic>P<\/jats:italic>\u2009=\u20090.019). Stapler height and closure technique of apical enterotomy did not affect postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Independent predictors of complications after laparoscopic right colectomy were older age, extended colectomy and emergency surgery. Using a 100 mm stapler was an independent protective factor against postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16841","type":"journal-article","created":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T05:24:06Z","timestamp":1703913846000},"page":"348-355","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Stapler size independently predicts postoperative complications following stapled ileocolic anastomosis: A\u00a0retrospective cohort study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1766-9777","authenticated-orcid":false,"given":"Zoe","family":"Garoufalia","sequence":"first","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida  Weston Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-5244","authenticated-orcid":false,"given":"Sameh Hany","family":"Emile","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida  Weston Florida USA"},{"name":"General Surgery Department, Colorectal Surgery Unit Mansoura University Hospitals  Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peige","family":"Zhou","sequence":"additional","affiliation":[{"name":"Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida  Weston Florida USA"},{"name":"Georgia Colon and Rectal Surgical Associates Northside Hospital  Atlanta Georgia 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