A systematic review and meta-analysis compared two-row, three-row, and powered circular staplers for colorectal anastomosis. Powered staplers showed significantly lower risk of leakage and anastomotic bleeding, while three-row staplers only reduced leakage risk. Subgroup analysis did not reveal significant differences between the groups. An important finding was the superior risk reduction in leakage with powered circular staplers compared to three-row staplers.
© 2024. The Author(s).