Comparison of stapling and handsuture for left-sided large bowel anastomosis

Author:

Everett W G1,Friend P J1,Forty J1

Affiliation:

1. Addenbrooke's Hospital, Hills Road, Cambridge, UK

Abstract

Abstract One hundred patients undergoing elective left-sided colonic or rectal resections were randomly allocated to have an anastomosis performed either with the EEA stapling gun or by hand suture using a single layer of interrupted sutures. In six patients the anastomosis could not be performed with the stapling gun. Clinical leakage occurred in two of the remaining 94 cases; both had hand-sutured anastomoses. Radiological leakage was demonstrated in 13 further cases (7 stapled, 6 sutured); there was no statistical difference in leakage rate with stapled and hand-sutured anastomoses.

Funder

East Anglian Regional Health Authority

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference12 articles.

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3. Randomised prospective evaluation of the EEA stapler for colorectal anastomoses;Beart;Am J Surg,1981

4. Staples or sutures for colonic anastomoses-a controlled clinical trial;Brennan;Br J Surg,1982

5. Staples or sutures for low colorectal anastomoses: a prospective randomized trial;McGinn;Br J Surg,1985

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