Supraperitoneal colorectal anastomosis: Hand-sewn versus circular staples—a controlled clinical trial

摘要: Background Although used widely for supraperitoneal anastomoses, circular stapled anastomoses have never been proved better than hand-sewn anastomoses. In the one prospective controlled trial that studied these specifically, only significant difference found was there were more clinically obvious leakages with variety, but not in overall clinical and roentgenologic leakage rates. Methods. One hundred fifty-nine consecutive patients (88 men 71 women, mean age 65.8±12.1years) randomized to undergo (n=74) or (n=85) colorectal anastomosis after left colectomy. Results. Patient demographics similar both groups. Overall mortality 1.3% (2 of 159; each group). No statistically (NS) rate early complications, including anastomotic (4 74 versus 6 85) respectively). Mishaps (n=10) hemorrhage (n=5) occurred group only. Stapled took an average 8 minutes less perform (p Conclusions. According results, seems be no advantage routine regular use stapling instruments anastomosis.