[Mechanical staplers in colorectal surgery: cost-benefit ratio].
The cost/benefit ratio of stapled anastomoses in colorectal surgery has been retrospectively evaluated on the basis of a 8 year experience taking into account the overall costs in surgery as well as short term and long term benefits. With this aim, our experience was divided in two periods: 1st period: November 1970-January 1981: 598 hand sutures; 2nd period: February 1981-December 1988: 787 stapled sutures. Mechanical suturing was found to be superior based on the following: a) the average postoperative hospital stay decreased from 20.2 days to 14.7 days; b) temporary stomas decreased from 62.2 to 25.1%; c) abdominoperineal resection for rectal cancer decreased from 60.7 to 41.6%.
Donini
I
I
Istituto di Clinica Chirurgica Generale, Università degli Studi di Ferrara.
Mari
C
C
Buccoliero
F
F
Rubbini
M
M
Virgili
T
T
Donini
A
A
Fiorentini
G
G
Navarra
G
G
Bresadola
V
V
D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D003125:Colostomy; D003362:Cost-Benefit Analysis; D007902:Length of Stay; D012004:Rectal Neoplasms / Q000601:surgery; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D013528:Surgical Staplers / Q000191:economics
Le suturatrici meccaniche in chirurgia colo-rettale: rapporto costi/benefìci.