Stapled versus handsewn methods for colorectal anastomosis surgery: a systematic review of randomized controlled trials

Lustosa, Suzana Angélica da Silva; Matos, Délcio; Atallah, Álvaro Nagib; Castro, Aldemar Araújo

doi:10.1590/s1516-31802002000500002

Cited by 105 publications

(85 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These devices also allow more complex minimally invasive, laparoscopic procedures to be performed. [3][4][5] While stapled colorectal anastomoses have not demonstrated reduction in complications, 6 stapled ileocolic anastomosis is associated with fewer leaks when compared to hand-sutured anastomosis. 7 Regardless, their use is widespread as tissue handling and operating time can be shortened considerably.…”

Section: Introductionmentioning

confidence: 99%

Buttressing Staples with Cholecyst-derived Extracellular Matrix (CEM) Reinforces Staple Lines in an Ex Vivo Peristaltic Inflation Model

et al. 2008

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Buttressing Staples with Cholecyst-derived Extracellular Matrix (CEM) Reinforces Staple Lines in an Ex Vivo Peristaltic Inflation Model

et al. 2008

View full text Add to dashboard Cite

show abstract

“…[14] Male gender, the use of staples, and divergent stoma have been reported as prognostic factors in the development of anastomotic stricture. [16,17] In some studies, it has been said that anastomoses under the peritoneal reflection are associated with a greater risk of stenosis. [18] In the past, surgical treatment was applied for all anastomotic strictures unresponsive to medical treatment; however, currently, noninvasive endoscopic methods have become more prominent.…”

Section: Discussionmentioning

confidence: 99%

Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique?

Kaya¹,

Altuntas²,

Altin³

et al. 2018

South Clin Ist Euras

View full text Add to dashboard Cite

Objective: The aim of this study was to examine and describe the efficiency of endoscopic balloon and bougie dilatation techniques applied to anastomotic strictures developed in patients who underwent a low anterior resection (LAR) and ileostomy.Methods: A total of 167 patients underwent an LAR with an ileostomy due to rectal cancer between July 2014 and December 2017. Nineteen (%11.4) cases with anastomosis stricture were retrospectively evaluated and included in the study. Patients were classified according to the dilation time. Group 1 patients received dilatation within the first 3 months postoperatively, and Group 2 patients received dilatation after 3 months. Demographic data, the dilatation technique, the number of dilatation applications, the level of the stricture, the success rate, and the stoma closure time were evaluated. Results:In Group 1, the mean number of dilatation procedures was 1.8 (range: 1-3), whereas in Group 2, the mean was 3.8 (range: 2-5). The success rate was 100% in Group 1 and 66.6% in Group 2. There was a statistically significant difference between the groups in the requirement for dilatation and the success rate (p=0.022, p=0.028, respectively). Conclusion:It was concluded that dilatation techniques are most successful when applied within 3 months after surgery in cases with stenotic anastomoses. The risk of strictures and the number of repeated dilatations was lower and the success rate was significantly higher in these cases.

show abstract

“…The use of sutures or staples to create a colorectal anastomosis has not been shown to significantly alter the anastomotic leak rate in the study done by Lustosa et al [11], Docherty et al [12], and Nasirkhan et al [13].…”

Section: Anastomotic Leakmentioning

confidence: 93%

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

et al. 2012

View full text Add to dashboard Cite

Conventional (hand-sewn) technique of intestinal anastomosis has been in vogue for decades. Staplers which were developed to simplify surgery began to have significant impact. To compare staplers versus conventional anastomosis with respect to certain intra operative and post operative parameters. Prospective study from November 2008 to October 2010 in Hyderabad at OSMANIA, GAN-DHI, MNJ CANCER hospitals. 120 patients were divided into three groups of 40 each, depending on the surgery like posterior gastrojejunostomy, distal gastrectomy and reconstruction (Billroth II) and colorectal anastomosis. Of these 40 patients, 20 were in hand-sewn group and the other 20 in stapler group. Unpaired 't' test was used to find 'p' value . 'p' value less than 0.05 was considered statistically significant. Total operating time was shortened in stapler group. No significant difference was found in terms of restoration of intestinal function, post-operative hospital stay, postoperative complications like anastomotic leak. Staplers can expedite surgery. They have better access to difficult-toreach areas. Thus staplers can be beneficial though one should not forget the art of conventional suturing.

show abstract

Stapled versus handsewn methods for colorectal anastomosis surgery: a systematic review of randomized controlled trials

Abstract: The evidence found was insufficient to demonstrate superiority of the stapling method over handsewing, independent of the level of colorectal anastomosis.

Cited by 105 publications

References 17 publications

Buttressing Staples with Cholecyst-derived Extracellular Matrix (CEM) Reinforces Staple Lines in an Ex Vivo Peristaltic Inflation Model

Buttressing Staples with Cholecyst-derived Extracellular Matrix (CEM) Reinforces Staple Lines in an Ex Vivo Peristaltic Inflation Model

Right and Wrong Approaches To Colorectal Anastomotic Strictures: When? Which Technique?

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

Contact Info

Product

Resources

About