Anastomosentechniken am GastrointestinaItrakt

Laukötter, M; Senninger, N.

doi:10.1007/s00104-012-2392-9

Cited by 9 publications

(12 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Shortening the operation time means reducing surgical trauma and intra-operative blood loss and also abating local infection and reducing the chance of surgical complications. However, the superiority of stapling did not extend to postoperative hospital stay, which is consistent with the previous reports that postoperative hospital stay time showed no difference between the patients who received stapler suturing and manual procedure after gastrectomy [9,11]. However, another study showed that stapling anastomosis shortens postoperative hospital stay in the patients with stomach and esophageal tumors [12].…”

Section: Discussionsupporting

confidence: 88%

“…An ideal anastomosis should fulfill the following criteria: it must be well vascularized, safe, tension-free and spillage from the operation field should be avoided [8]. The manual procedure has been used in tract anastomosis for a long time, but stapler suturing has been increasingly used as an anastomotic method in digestive tract surgery in the past few years [9,10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

2017

IJSR

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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

2017

IJSR

View full text Add to dashboard Cite

show abstract

“…Anastomotic healing remains a significant challenge for all surgeons of the gastrointestinal tract, with a high impact on patient outcomes. Despite improvements in the management of nutritional status (29), pre-and postoperative glycemic control (30), tension-free anastomotic techniques (31), and a revered number of other related to anastomosis healing variables, the leakage rate still ranges from 2% to 7%, even when performed by experienced surgeons (1)(2)(3)32). Several animal studies have provided crucial information on a variety of anastomosis techniques; however, a systematic review on the subject revealed that the actual translational value to clinical practice seems to be very limited (33).…”

Section: Discussionmentioning

confidence: 99%

Impact of Deserosalization on Small Bowel Anastomosis Healing in Swine: A Pilot Study

Vrakopoulou

Toutouzas

Giannios

et al. 2020

In Vivo

View full text Add to dashboard Cite

Background: Healing is related to gastrointestinal anastomotic leak, which is a severe and common complication. This study aimed to investigate the feasibility and the impact of deserosalization on healing of jejuno-jejunal anastomoses in an animal model. Materials and Methods: Seven swine underwent three types of side-to-side jejuno-jejunal anastomosis twice and survived seven days. Three different types of jejuno-jejunal sideto-side anastomoses were performed twice at 20-cm distance from each other in each animal: no serosa removal, one-sided, and two-sided serosa removal, respectively. Bursting pressure, tissue hydroxyproline concentration, and pathology scores were evaluated. Results: Hydroxyproline tissue concentration was a mean±standard deviation of 0.37±0.09, 0.38±0.08, and 0.30±0.05 nmoI/ml respectively (p<0.05). Bursting pressure was a mean±standard deviation of 59.02±8.60, 73.20±11.09, and 100.01±7.49 mmHg, respectively (p<0.001). The histopathological assessment did not find any statistically significant differences. Conclusion: Deserosalization in jejunojejunal anastomosis was technically feasible and seemed to improve mechanical strength and collagen deposition in this experimental porcine model. Further investigation is warranted.

show abstract

“…Anastomosis is generally performed for the surgery treating these three types of GI tract tumor. An ideal anastomosis should fulfill the following criteria: it must be well vascularized, safe, tension-free and spillage from the operation field should be avoided [ 8 ]. The manual procedure has been used in tract anastomosis for a long time, but stapler suturing has been increasingly used as an anastomotic method in digestive tract surgery in the past few years [ 9 , 10 ].…”

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

View full text Add to dashboard Cite

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.

show abstract

Anastomosentechniken am GastrointestinaItrakt

Cited by 9 publications

References 18 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

Impact of Deserosalization on Small Bowel Anastomosis Healing in Swine: A Pilot Study

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

Contact Info

Product

Resources

About