Comparative evaluation of manual and instrumental rectum resections.
The authors compared the perioperative results of 125 + 125 Dixon operations performed at two time intervals (1956-1979 and 1985-1990), the postoperative recurrences and the survival data. It is established that, from the anastomosis point of view, the instrumental resections--beside their rapidity and favourable sterility--are safer interventions associated with less complications. With respect to local recurrences the two methods do not differ significantly. A further advantage of the double stapling is that a larger number of patients can undergo a sphincter-saving resection, and a lower lying anastomosis can be performed than with hand-sewn sutures.
Köves
I
I
Department of Surgery, National Institute of Oncology, Budapest, Hungary.
Rónay
P
P
Besznyák
I
I
Vámosi-Nagy
I
I
D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D006801:Humans; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013528:Surgical Staplers; D016896:Treatment Outcome