Comparison of stapling and hand-suture for left-sided large bowel anastomosis.
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.
D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007420:Intestine, Large / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013528:Surgical Staplers / Q000191:economics; D013529:Surgical Wound Dehiscence; D013536:Suture Techniques; D013997:Time Factors