Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2024; 16(8): 2592-2601
Published online Aug 27, 2024. doi: 10.4240/wjgs.v16.i8.2592
New anti-mesenteric delta-shaped stapled anastomosis: Technical report with short-term postoperative outcomes in patients with Crohn’s disease
Jong Lyul Lee, Yong Sik Yoon, Hyun Gu Lee, Young Il Kim, Min Hyun Kim, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu
Jong Lyul Lee, Yong Sik Yoon, Young Il Kim, Min Hyun Kim, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu, Division of Colon and Rectal Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, South Korea
Hyun Gu Lee, Department of Surgery, Gangdong Kyung Hee University Hospital, Seoul 05278, South Korea
Author contributions: Lee JL designed and performed the research, and wrote the paper; Yoon YS designed the research and supervised the report generation; Lee HG contributed to the analysis; Kim YI, Kim MH, Kim CW, Park IJ, Lim SB, and Yu CS provided clinical advice and supervised the report. All authors read and approved the final manuscript.
Supported by Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea, No. 2019IF0593.
Institutional review board statement: The Institutional Review Board of Asan Medical Center provided approval for this study (IRB No. 2024-0322).
Informed consent statement: Due to the retrospective nature of this study, informed consent was waived.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The anonymized data that support the findings of this study are available from the corresponding author (Yong-Sik Yoon, yoonys@amc.seoul.kr) upon reasonable request. The unanonymized data, however, will not be made publicly available due to their information content that could compromise the privacy of research participants.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong Sik Yoon, MD, PhD, Professor, Division of Colon and Rectal Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. yoonys@amc.seoul.kr
Received: April 30, 2024
Revised: June 19, 2024
Accepted: July 17, 2024
Published online: August 27, 2024
Processing time: 108 Days and 7.3 Hours
Core Tip

Core Tip: This study introduced a new anti-mesenteric side-to-side delta-shaped stapled anastomosis (DSA) technique employed to maintain the concept of anti-mesentery anastomosis by performing a 90° vertical closure of the open window. The DSA technique avoids pouch formation at the corner and creates a delta-shaped anastomosis within the intestinal lumen. Patients with Crohn’s disease who underwent intestinal surgery using the DSA technique had a significantly shorter hospital stay and a lower rate of postoperative complication compared with those who underwent conventional side-to-side anastomosis. The DSA technique appears to be a safe and more suitable anastomosis technique for surgical treatment of Crohn’s disease.