Taebong Kim1, Wansik Yu, Hoyoung Chung. 1. Department of Surgery, Daegu Veterans Hospital, 748 Dowon-dong, Dalseo-gu, Daegu, 704-802, Korea. tkimchr@medigate.net
Abstract
BACKGROUND: The role of circular staplers in gastroduodenostomy during subtotal gastrectomy for gastric cancer has not been defined clearly. METHODS: A randomized clinical trial included patients with gastric cancer who underwent subtotal gastrectomy with either stapled (99 patients) or handsewn gastroduodenostomy (98 patients). The anastomosis time and postoperative outcomes in the two groups were compared. RESULTS:Performance of stapled gastroduodenostomy was significantly quicker than handsewn gastroduodenostomy. There were no significant differences between the groups in postoperative course, morbidity and mortality rates, survival rate, and recurrence pattern. CONCLUSIONS:Stapled gastroduodenostomy with a circular stapler can reduce the anastomosis time with relative safety.
RCT Entities:
BACKGROUND: The role of circular staplers in gastroduodenostomy during subtotal gastrectomy for gastric cancer has not been defined clearly. METHODS: A randomized clinical trial included patients with gastric cancer who underwent subtotal gastrectomy with either stapled (99 patients) or handsewn gastroduodenostomy (98 patients). The anastomosis time and postoperative outcomes in the two groups were compared. RESULTS: Performance of stapled gastroduodenostomy was significantly quicker than handsewn gastroduodenostomy. There were no significant differences between the groups in postoperative course, morbidity and mortality rates, survival rate, and recurrence pattern. CONCLUSIONS: Stapled gastroduodenostomy with a circular stapler can reduce the anastomosis time with relative safety.
Authors: Kenneth G Walker; Stephen W Bell; Matthew J F X Rickard; Daniel Mehanna; Owen F Dent; Pierre H Chapuis; E Leslie Bokey Journal: Ann Surg Date: 2004-08 Impact factor: 12.969
Authors: Hylke J F Brenkman; Leonie Haverkamp; Jelle P Ruurda; Richard van Hillegersberg Journal: World J Gastroenterol Date: 2016-04-21 Impact factor: 5.742