Surgical Technique and Considerations about Transanal Transection and Single-Stapled (TTSS) Anastomosis: The Search for a Perfect Anastomosis

Abstract The evaluation of preventive measures and risk factors for anastomotic leakage has been a constant concern among colorectal surgeons. In this context, the description new way to perform colorectal, coloanal or ileoanal anastomosis, known as transanal transection single-stapled (TTSS) deserves an appreciation its qualities, discussion about properties technical details. present paper, authors review most recent efforts aiming reduce dehiscence, describe TTSS technique in patient submitted laparoscopic total proctocolectomy with ileal pouch-anal anastomosis familial adenomatous polyposis. Surgical perception raises important advantages such distal rectal under visualization, elimination double-stapling lines (with cost-effectiveness potential protection against suture dehiscence), dog ears, opportunity be accomplished via approach after open, laparoscopic, robotic resections. Future studies confirm these supposed are needed.