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The impact of the number of stapler firings on anastomotic leakage in minimally invasive rectal surgery: risk factor or technical marker of complexity? A systematic review, meta‑analysis, and metaregression.

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Title: The impact of the number of stapler firings on anastomotic leakage in minimally invasive rectal surgery: risk factor or technical marker of complexity? A systematic review, meta‑analysis, and metaregression.
Authors: Cardelli S; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy. st.cardelli@gmail.com.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy. st.cardelli@gmail.com., Brusa E; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy., Calini G; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy., Violante T; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy., Gori A; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy., Cuicchi D; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy., Stocchi L; Division of Colon and Rectal Surgery, Mayo Clinic Florida, Jacksonville, FL, USA., Rottoli M; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.
Source: Techniques in coloproctology [Tech Coloproctol] 2026 May 26. Date of Electronic Publication: 2026 May 26.
Publication Type: Journal Article; Review
Journal Info: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: The impact of the number of stapler firings on anastomotic leakage in minimally invasive rectal surgery: risk factor or technical marker of complexity? A systematic review, meta‑analysis, and metaregression.
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  Data: <searchLink fieldCode="AU" term="%22Cardelli+S%22">Cardelli S</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy. st.cardelli@gmail.com.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy. st.cardelli@gmail.com.<br /><searchLink fieldCode="AU" term="%22Brusa+E%22">Brusa E</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.<br /><searchLink fieldCode="AU" term="%22Calini+G%22">Calini G</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.<br /><searchLink fieldCode="AU" term="%22Violante+T%22">Violante T</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.<br /><searchLink fieldCode="AU" term="%22Gori+A%22">Gori A</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.<br /><searchLink fieldCode="AU" term="%22Cuicchi+D%22">Cuicchi D</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.<br /><searchLink fieldCode="AU" term="%22Stocchi+L%22">Stocchi L</searchLink>; Division of Colon and Rectal Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.<br /><searchLink fieldCode="AU" term="%22Rottoli+M%22">Rottoli M</searchLink>; Surgery of the Alimentary Tract, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40139, Bologna, Italy.; Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40139, Bologna, Italy.
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