title: [Stapler versus manual anastomosis in gastrointestinal surgery].
abstract: The comparative effectiveness of manual and auto-sutured anastomoses after total gastrectomy (107 cases), low anterior rectal resection (100 cases) and right hemicolectomy (34 cases) is studied. In the stapled series the incidence of anastomotic leakage was somewhat less, although benign stenosis occurred more frequently than with hand-sutured anastomoses. However, this could not be statistically demonstrated. In the authors' view, the main advantages of the use of staplers are the shortening of operating time and the lessening of septic steps.
authors.affiliation: Chirurgische Universitätsklinik Granada, Madrid, Spanien.
authors.forename: E
authors.initials: E
authors.lastname: Moreno-Gonzalez
authors.forename: R
authors.initials: R
authors.lastname: Vara-Thorbeck
mesh_terms: D005743:Gastrectomy; D005770:Gastrointestinal Neoplasms / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013536:Suture Techniques; D014945:Wound Healing
vernacular_title: Stapler versus handgenähte Anastomose in der Magen-Darm-Chirurgie.