Blog
About

16
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Comparison of manually constructed and stapled anastomoses in colorectal surgery. West of Scotland and Highland Anastomosis Study Group.

      Annals of Surgery

      Time Factors, Treatment Outcome, surgery, Colorectal Neoplasms, epidemiology, Colon, Female, Follow-Up Studies, Humans, Male, Multivariate Analysis, Neoplasm Recurrence, Local, Prospective Studies, Rectum, Risk Factors, Surgical Stapling, Surgical Wound Dehiscence, Surgical Wound Infection, Suture Techniques, Anastomosis, Surgical, methods

      Read this article at

      ScienceOpenPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The authors compared both the initial and the long-term outcomes of patients undergoing stapled and sutured colorectal anastomoses. Sutured and stapled large bowel anastomoses are perceived to be equally safe, but concern has been raised about increased rates of tumor recurrence with the use of stapling instruments. The outcome of patients with sutured and stapled colorectal anastomoses were compared in a prospective, multicenter, randomized study. Factors affecting long-term outcomes were assessed by both univariate and multivariate analysis. Seven hundred thirty-two patients were recruited. There was a significant increase in radiologic leakage in the sutured group (14.4% vs. 5.2%, p < 0.05), but there was no difference in clinical anastomotic leak rates, morbidity, or postoperative mortality. Tumor recurrence and cancer-specific mortality were higher in the sutured patients (7.5% and 6.7%, respectively) and in patients with anastomotic leaks. This study shows that suturing or stapling are equally safe in large bowel surgery. However, it also shows a long-term benefit of stapling in colorectal cancer patients.

          Related collections

          Author and article information

          Journal
          7857145
          1234951

          Comments

          Comment on this article