An alternative linear stapling technique for performing Roux-en-Y anastomosis

Machado, Marcel Autran; Herman, Paulo; Montagnini, André L.; Eshkenazy, Rony; Corrêa, Danton Spohr

doi:10.1016/s0002-9610(02)01000-0

Cited by 4 publications

(6 citation statements)

References 2 publications

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“…The hand sewn suture also effectively lowered the occurrence of stump leakage for colorectal cancer com-pared to the stappler method in rural areas. Although major meta-analysis and comprehensive reviews suggest no significant difference was found in in terms of restoration of intestinal function, postoperative hospital stay and post-operative complications, it is recognized that the stapler method generally shortens the total operating time and provides better access to difficult-to-reach areas [14][15][16]. We obtained similar results in operative time and hospital stay but showed no increased superiority of stapled method in reducing several complications.…”

Section: Discussionmentioning

confidence: 61%

Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad

2017

IJSR

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Background: There is a lack of studies comparing stapled suturing and hand-sewn suturing in GI surgeries in tier 2 towns of India. Methods: Data were retrospectively collected from 499 patients who underwent GI surgeries from January 2016 to December 2016. The patients were divided into two groups according to the method of digestive tract reconstruction: 296 patients received stapled suturing and 203 patients received hand-sewn suturing. The operation time, postoperative hospital stay, postoperative recovery and complications of the patients were evaluated and compared between the two groups. Results: The stapling procedure took shorter operative time compared to the hand-sewn procedure for gastric carcinoma, colorectal cancer and esophageal carcinoma (P < 0.05). There was no significant difference between the two groups in postoperative hospital stay (P > 0.05). Patients receiving hand sewn suturing also showed shorter recovery for gastric cancer, colorectal cancer, and shorter time to recovery of normal gastrocolorectal motility compared with patients in the stapled suturing group (P < 0.05) in rural areas. However, there was no difference between the two groups in terms of normal time to commencing liquid diet for esophageal cancer patients (P > 0.05). We also found that the stapled procedure showed a lower incidence of anastomotic leakage, anastomotic hemorrhage and stump leakage in treating colorectal cancer or gastric carcinoma compared with the hand-sewn procedure (P < 0.05).However the cost of staplers was too high for patients in tier 2 towns making in unaffordable for most of them. Conclusions: Application of the stapler in GI surgeries demonstrated no better effects on patients in terms of surgical operation time, recovery time to normal functions, and occurrence of complications compared to handsewn anastomosis, especially in gastric carcinoma and colorectal cancer.

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Section: Discussionmentioning

confidence: 61%

Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad

2017

IJSR

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“…This may be overcome with the use of the single-firing stapler technique. 21 We are aware that the isolated pancreatic anastomosis technique may be undervalued by some high volume centers. 40 We suggest however this technique may further reduce complications even in these high-volume centers.…”

Section: Discussionmentioning

confidence: 99%

“…Next step is to create a Roux-en-Y limb using a single stapler firing, as previously reported. 21 A 40-cm jejunal loop is left for the biliary reconstruction (Fig. 2).…”

Section: Surgical Techniquementioning

confidence: 99%

Systematic use of isolated pancreatic anastomosis after pancreatoduodenectomy: Five years of experience with zero mortality

Machado

2016

European Journal of Surgical Oncology (EJSO)

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“…When comparing the functional postoperative recovery between the two groups, the time to normal gastrocolorectal motility after surgery was shorter in the stapler group compared to the manual group ( P < 0.05) indicating the superiority of stapling in postoperative recovery. This could be explained by minor surgical trauma around stapler anastomosis and the contraposition of anastomotic tissues, avoiding damage to the gastric mucosa from the cutting thread [ 11 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of hand-sewn and stapled anastomoses in surgeries of gastrointestinal tumors based on clinical practice of China

Liu

et al. 2014

World J Surg Onc

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BackgroundThere is a lack of studies comparing stapled suturing and hand-sewn suturing in the surgeries of gastrointestinal tumors based on the clinical practice of Chinese surgeons.MethodsData were retrospectively collected from 499 patients who underwent surgery to remove gastrointestinal tumors from January 2008 to December 2009. The patients were divided into two groups according to the method of digestive tract reconstruction: 296 patients received stapled suturing and 203 patients received hand-sewn suturing. The operation time, postoperative hospital stay, postoperative recovery and complications of the patients were evaluated and compared between the two groups.ResultsThe stapling procedure took shorter operative time compared to the hand-sewn procedure for gastric carcinoma, colorectal cancer and esophageal carcinoma (P < 0.05). There was no significant difference between the two groups in postoperative hospital stay (P > 0.05). Patients receiving stapled suturing also showed shorter recovery for gastric cancer, colorectal cancer, and shorter time to recovery of normal gastrocolorectal motility compared with patients in the hand-sewn group (P < 0.05). However, there was no difference between the two groups in terms of normal time to commencing liquid diet for esophageal cancer patients (P > 0.05). We also found that the stapled procedure showed a lower incidence of anastomotic leakage, anastomotic hemorrhage and stump leakage in treating colorectal cancer or gastric carcinoma compared with the hand-sewn procedure (P < 0.05).ConclusionsApplication of the stapler in treating gastrointestinal tumors demonstrated better effects on patients in terms of surgical operation time, recovery time to normal functions, and occurrence of complications compared to hand-sewn anastomosis, especially in gastric carcinoma and colorectal cancer.

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An alternative linear stapling technique for performing Roux-en-Y anastomosis

Cited by 4 publications

References 2 publications

Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad

Comparison of Hand-Sewn and Stapled Anastomoses in GI Surgeries Based on Clinical Practice at Krishna Hospital, Karad

Systematic use of isolated pancreatic anastomosis after pancreatoduodenectomy: Five years of experience with zero mortality

Comparison of hand-sewn and stapled anastomoses in surgeries of gastrointestinal tumors based on clinical practice of China

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