Total gastrectomy and oesophagojejunostomy – a prospective randomized trial of hand-sutured versus mechanically stapled anastomoses
✍ Scribed by Professor R. M. Seufert; A. Schmidt-Matthiesen; A. Beyer
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- English
- Weight
- 296 KB
- Volume
- 77
- Category
- Article
- ISSN
- 0007-1323
No coin nor oath required. For personal study only.
✦ Synopsis
Total gastrectomy and oesophagojejunostomy -a prospective randomized trial of hand-sutured versus mechanically stapled anastomoses
Eighty patients undergoing total gastrectomy f o r malignant disease were entered into a prospective randomized study, comparing anastomoses constructed mechanically (staples) with hand-sewn (single layer Maxon@) anastomoses. The groups were matched with respect to clinical features, medical risk factors and were staged f o r tumour. Only one anastomotic leak was observed after operation and this was in the group of stapled anastomoses. One patient died in each group (owing to cardiac infarction and multiorgan failure). Operating time, morbidity and hospital stay showed no significant differences between groups. These results indicate that hand-se wn and mechanically stapled oesophagojejunostomy anastomoses allow the same high standard of performance.