Current evidence on powered versus manual circular staplers in colorectal surgery: a systematic review and meta-analysis.

ABSTRACT:

Purpose

This meta-analysis aims to evaluate the efficacy of powered circular staplers (PCS) compared to manual circular staplers (MCS) in reducing anastomotic leakage (AL) and postoperative bleeding (AB) in colorectal surgery.

Methods

Extensive searches were performed in the Embase, PubMed, and SCOPUS electronic bibliographic databases. Most studies were of an observational nature, and only one randomized clinical trial was identified.

Results

Twelve studies met the inclusion criteria for anastomotic leakage and five for anastomotic hemorrhage. The number of patients included for AL analysis was 4524. The leakage rate was 4.6% (208 cases). The number of patients with AB was 2868 with a bleeding rate of 4.99% (143 patients). After identifying outliers and studies with

SUBMITTER: Martin-Arevalo J 

PROVIDER: S-EPMC11735560 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature