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.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Kim T,Yu W,Chung H

doi

10.1007/s00268-011-1038-2

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

1026-9

issue

5

eissn

0364-2313

issn

1432-2323

journal_volume

35

pub_type

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