title: Handsewn versus stapled gastroduodenostomy in patients with gastric cancer: long-term follow-up of a randomized clinical trial.
abstract: BACKGROUND
  The role of circular staplers in gastroduodenostomy during subtotal gastrectomy for gastric cancer has not been defined clearly.
  
  
  METHODS
  A randomized clinical trial included patients with gastric cancer who underwent subtotal gastrectomy with either stapled (99 patients) or handsewn gastroduodenostomy (98 patients). The anastomosis time and postoperative outcomes in the two groups were compared.
  
  
  RESULTS
  Performance of stapled gastroduodenostomy was significantly quicker than handsewn gastroduodenostomy. There were no significant differences between the groups in postoperative course, morbidity and mortality rates, survival rate, and recurrence pattern.
  
  
  CONCLUSIONS
  Stapled gastroduodenostomy with a circular stapler can reduce the anastomosis time with relative safety.
authors.affiliation: Department of Surgery, Daegu Veterans Hospital, 748 Dowon-dong, Dalseo-gu, Daegu, 704-802, Korea. tkimchr@medigate.net
authors.forename: Taebong
authors.initials: T
authors.lastname: Kim
authors.forename: Wansik
authors.initials: W
authors.lastname: Yu
authors.forename: Hoyoung
authors.initials: H
authors.lastname: Chung
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D004385:Duodenostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D011446:Prospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D017792:Surgical Stapling; D013536:Suture Techniques