The use of surgical staplers has become commonplace in colorectal anastomoses, and staple line intersections from double stapling techniques have been associated with anastomotic leakage. This video correspondence illustrates a novel method to imbricate the linear staple line so that it can be excised by the circular stapler, avoiding potential contamination from conventional rectotomy‐pursestring single‐stapling techniques. It will demonstrate the technique in a robotic‐assisted laparoscopic case of a high anterior resection, accompanied by an easy‐to‐follow diagrammatic illustration of each step, with tips on how to perfect each step. We discuss the limitations of the proposed technique and how to overcome them. In doing so, we aim to share this useful new skill as an alternative to purse‐string methods for achieving a single‐stapled colorectal anastomosis (Video 1).
VIDEO 1.
A novel technique—SIGMA (suture‐assisted imbrication and geometric modification for single‐stapled anastomosis). Video content can be viewed at https://onlinelibrary.wiley.com/doi/10.1111/codi.70572.
AUTHOR CONTRIBUTIONS
Nan Zun Teo: Conceptualization; writing – review and editing. James Chi‐Yong Ngu: Conceptualization; writing – review and editing. Ee Wen Lim: Writing – original draft; conceptualization.
FUNDING INFORMATION
This video correspondence was prepared without external funding.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
ETHICS STATEMENT
All procedures adhered to ethical guidelines, and informed consent was obtained where applicable.
DATA AVAILABILITY STATEMENT
The data that supports the findings of this study are available in the supplementary material of this article.
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The data that supports the findings of this study are available in the supplementary material of this article.