Prospective controlled study of gastrointestinal stapled anastomoses

Comparative Study between Staplers and Conventional(Hand-Sewn) Anastomosis in Gastrointestinal Surgery

“…This was in accordance with the studies done by Scher et al [9,10], Reiling et al [8], and George et al [6].…”

“…Similar finding was found in the study done by Damesha et al [5]. In gastric resection group, the difference was not statistically significant with respect to these parameters (return of bowel sounds P00.339, resumption of oral feeds P00.104) and was in accordance with the study done by Reiling et al [8].…”

A prospective randomized trial of hand-sutured versus mechanically stapled anastomoses for gastroduodenostomy after distal gastrectomy

“…Mechanical staplers have shortened the operation time, facilitated the performance of gastrointestinal anastomoses at sites with a poor field of view, and lowered the likelihood of suture failure [1][2][3]. Several prospective, randomized controlled studies have compared hand suturing with mechanical stapling in patients undergoing total gastrectomy and low anterior colorectal resection [1,[4][5][6][7][8][9][10].…”

Evidence-Based Surgical Practice in Academic Medical Centers: Consistently Anecdotal?

“…Several questions concerned topics with controversial or equivocal answers. For example, while studies available at the time of the French study suggested that handsewn anastomoses were less expensive and less prone to late stenosis, [3][4][5][6] widespread clinical experience supports that both mechanical and handsewn bowel anastomoses are safe, effective, and reliable. Furthermore, two Cochrane reviews published in 2009 confirmed that overall clinical outcomes and leak rates are equivalent with either technique.…”

“…Do you perform a mechanical anastomosis for small intestine resection? Never or rarely3,5,6 12. Do you perform intra-operative cholangiography in a patient with biliary lithiasis, normal serum liver enzymes, and a small CBD?Never or rarely[33][34][35] 13.…”