Comparison of mechanical and manual anastomoses in emergency gastric resection
Anselmi, A.; Salvini, P.; Crozzoli, L.; Manenti, F.; Papotti, R.; Sallusti, M.; Signorelli, F.; Segala, M.
Il Giornale di Chirurgia 12(3): 81-83
1991
ISSN/ISBN: 0391-9005 PMID: 1873185 Document Number: 373845
Hundred and twenty-one patients underwent emergency subtotal gastrectomy for complications related to peptic ulcer (86) and malignant diseases (35). According to the type of anastomosis performed (manual or mechanical) patients were divided into two groups: 81 with hand-sutured anastomoses (double layer) and 40 with stapled anastomoses. The latter were more commonly used in the Roux-en-Y reconstruction and Billroth 1 gastrectomy. Median operating time (192' versus 190'), hospital stay (15.2 versus 13.5 days), postoperative complications (38% versus 32.5%) and anastomotic or duodenal stump leakage (7.4% versus 5%) showed no significant difference between groups. Therefore, in emergency subtotal gastrectomy mechanical anastomoses allow to obtain results comparable to the more used manual ones.