Dixon's anastomosis with "double-stapling" technique: experience with 235 cases.

The perioperative results of 235 Dixon's anastomoses performed between 1985 and 1994 are compared to those of 125 Dixon's anastomoses performed between 1956 and 1979, on the basis of recurrences and survival data. It is concluded that the operations carried out with double stapling are considerably superior interventions with respect to speed, sterility and anastomotic safety and involve less complications. There is no difference between the stapling and handsewn techniques concerning the development of local recurrences. A further advantage of stapling is that it makes possible the saving of the sphincter more often, namely in almost 50% of the cases.