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

Liu, Bin-wei; Liu, Yang; Liu, Junru; Feng, Zijie

doi:10.1186/1477-7819-12-292

Cited by 26 publications

(19 citation statements)

References 17 publications

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“…During the field research of literature for colonic and colorectal anastomotic techniques, were found several articles promoting stapled procedures, sustaining that mechanical suture presents a lower incidence of anastomotic leak (20). Investigating similar scientific articles there can be found opposite perspectives to ours, affirming that stapled procedure should be preferred for anastomosis after ileocolic resection (21).…”

Section: Discussionmentioning

confidence: 80%

Safety of Anastomoses in Right Hemicolectomy for Colon Cancer

Elöd¹,

Cozlea²,

Neagoe³

et al. 2019

chr

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Introducere: Cancerul colorectal este unul dintre cele mai frecvent întâlnite tumori maligne ale sistemului digestiv, incidenţa acestei boli crude crescând constant. Materiale şi Metode: 236 de pacienţi diagnosticaţi cu cancer de colon drept au fost revizuiţi retrospectiv. Pentru toţi pacienţii incluşi în acest studiu, hemicolectomie dreaptă sau hemicolectomie dreaptă extinsă cu anastomoză ileo-colonică a fost efectuată. Pacienţii au fost împărţiţi în două grupuri: grupul de studiu incluzând pacienţi care au dezvoltat fistulă de anastomoză şi grupul de control, incluzând pacienţi fără fistulă. Date clinice, chirurgicale, postoperatorii şi împrejurările apariţiei fistulelor anastomotice (AL) au fost evaluate. Studiul investighează posibilii factori de risc şi de protecţie pentru dezvoltarea fistulelor anastomotice şi nu în ultimul rând studiează relaţia dintre fistulă de anastomoză şi mortalitatea. Rezultate: factori de risc cum ar fi vârstă înaintată, tumorile 1/3 drepte ale colonului transvers, intervenţiile chirurgicale de urgenţă, sutură mecanică, anastomoza L-T, reluarea tardivă a motilităţii intestinale au fost identificate în timpul cercetării. Anastomoza L-L a fost identificată ca factor protector în dezvoltarea fistulei de anastomoză. Concluzii: Conform rezultatelor cercetării, în cazul tumorilor colonului drept, anastomoza ileo-transversă L-L ar trebui adaptată, având ceea mai scăzută rată în ceea ce priveşte dezvoltarea fistulei de anastomoză.

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Section: Discussionmentioning

confidence: 80%

Safety of Anastomoses in Right Hemicolectomy for Colon Cancer

Elöd¹,

Cozlea²,

Neagoe³

et al. 2019

chr

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“…However, it was somewhat different on the spectrum of complications between the two countries. Differences in comorbidities, diverse habits of operation, varied operative procedures, and different proportions of reconstruction, resection type or minimal invasive surgery were considered to be associated with the discrepancies (51)(52)(53)(54)(55).…”

Section: Morbidity and Mortalitymentioning

confidence: 99%

Gastric cancer treatment: similarity and difference between China and Korea

Yang¹,

Hu²

2017

Transl. Gastroenterol. Hepatol.

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Chinese populations have many demographic similarities to Korean populations. However, the long-term survival rates of gastric cancer patients in China are still not satisfactory when compared with Korea, especially for the advanced cases. In this article, we discuss about the similarity and difference of gastric cancer treatment in terms of screening, surgical approach, stomach resection, digestive tract reconstruction, lymphadenectomy, harvested lymph nodes, operative morbidity and mortality, postoperative chemotherapy as well as follow-up between China and Korea. Given that a variety of factors ranging from tumor characteristics to different treatment strategies are seen between the two countries, the reasons accounting for the differences in survival should be focused and the corresponding strategy should be considered and finally promote to improve the prognosis of gastric cancer.

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“…Generally, mechanical anastomoses were utilized in a higher percentage over the handsewn technique, but neither of these two methods had a major influence on fistula formation. Liu et al [ 7 ] report similar results for the two techniques with more benefits for stapled procedure.…”

Section: Discussionmentioning

confidence: 79%

Safety of anastomotic techniques and consequences of anastomotic leakage in patients with colorectal cancer: a single surgeon experience

Élthes

Sala²,

Neagoe³

et al. 2020

Medicine and Pharmacy Reports

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Introduction. Colorectal cancer is a common type of malignant disease of the digestive tract. Anastomotic leakage (AL) still represents a serious complication in gastrointestinal surgery, associated with high morbidity and mortality. Methods. We conducted a retrospective case-control study and analyzed a single surgeon's data about 359 patients treated for colorectal cancer. Patients were divided as follows: Study Group (patients with AL - 37 patients) and Control Group (patients without AL - 322 patients). Surgical and anastomotic technique-related information was processed. Results. Surgical procedures for right sided colon tumors resulted in a significantly lower rate of anastomotic leakage (P = 0.0231). For left sided colectomies end to end handsewn double layer anastomosis presented decreased odds (OR = 0.176). For sigmoid segmental resection end to end anastomotic techniques developed low rate of fistula formation (handsewn - OR = 0.593, stapled – OR = 0.685). Performing Dixon type surgical interventions, anastomotic techniques seemed without influence on anastomotic leak appearance (handsewn and stapled), although distal anastomoses were identified as significant risk factors for fistula formation (P = 0.0017). In order to perform subtotal colectomy, side to side sutures (handsewn and stapled) seemed safe choices for anastomotic procedure (P = 0.0073). Patient with anastomotic leakage suffered a significantly longer hospital stay (P = 0.0079), presented higher rate of surgical reintervention (P=0.0001), increased mortality (P=0.0001) and elevated hospitalization costs (P=0.0079). Conclusion. Postoperative complications like anastomosis leakage significantly increase hospitalization period, necessity of surgical reintervention, mortality and financial costs. In order to avoid these unpleasant events, bowel anastomoses require standardization during surgery.

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

Cited by 26 publications

References 17 publications

Safety of Anastomoses in Right Hemicolectomy for Colon Cancer

Safety of Anastomoses in Right Hemicolectomy for Colon Cancer

Gastric cancer treatment: similarity and difference between China and Korea

Safety of anastomotic techniques and consequences of anastomotic leakage in patients with colorectal cancer: a single surgeon experience

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