On the basis of 113 patients submitted to total gastrectomy because of gastric or junctional carcinoma, the Authors analyse the incidence of anastomotic complications comparing 65 esophago-jejunostomies, 57 entero-entero anastomosis, 24 duodenal closures and 50 jejunum closures performed by stapler versus respectively 48, 57, 89, 63 same operations carried out with manual sutures. The anastomotic leak was observed less frequently using stapler device (7,6%: 5/65) than after manual modality (20,8%: 10/48). Mortality rate was 2,6% and all 3 deaths were related with leaks of manual anastomosis. Regarding to late complications, they have found lesser amount (mechanical 3% vs manual 10,4%) and seriousness of anastomotic stenosis employing staplers; strictures were also more opened to improvement with endoscopic dilatation. Taking into account these favourable results regarding anastomotic complications, they can conclude that staplers allow an easier and safer suture with side benefits in morbidity and mortality rates. Hospitalization cost also can consenquently decrease.
|Translated title of the contribution||Incidence of early and late complications after total gastrectomy for carcinoma. Comparison between manual and mechanical sutures.|
|Number of pages||8|
|Publication status||Published - 1990|
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