Publikation

STARR with Contour Transtar: prospective multicentre European study

Wissenschaftlicher Artikel/Review - 01.10.2009

Bereiche
PubMed
DOI

Zitation
Lenisa L, Espin-Basany E, Corbisier F, Nugent K, Scherer R, Tuech J, Pigot F, Jayne D, Stuto A, Schwandner O, Hetzer F. STARR with Contour Transtar: prospective multicentre European study. Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland 2009; 11:821-7.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland 2009; 11
Veröffentlichungsdatum
01.10.2009
eISSN (Online)
1463-1318
Seiten
821-7
Kurzbeschreibung/Zielsetzung

OBJECTIVE: The stapled transanal rectal resection (STARR) in patients with defecation disorders is limited by the shape and capacity of the circular stapler. A new device has been recently developed, the Contour Transtar stapler, in order to improve the safety and effectiveness of the STARR technique. The study has been designed to confirm this declaration. METHOD: From January to June 2007 a prospective European multicentre study of consecutive patients with defecation disorder caused by internal rectal prolapse underwent the new STARR technique. The assessment of perioperative morbidity and functional outcome after 6 weeks, 3 and 12 months was documented by different scores. RESULTS: In all 75 patients, median age 64, the Transtar procedure was performed with 9% intraoperative difficulties, 7% postoperative complications and no mortality. The mean reduction of the ODS score was -15.6 (95%-CI: -17.3 to -13.8, P < 0.0001), mean reduction of SSS was -12.6 (95%-CI: -14.2 to -11.2; P < 0.0001). 41% stated improvement of their continence status by CCF score, only 4 patients (5%) had deterioration. CONCLUSION: The Transtar procedure is technically demanding, with good functional results similar to the conventional STARR.