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- Publisher Website: 10.1002/bjs.1800780323
- Scopus: eid_2-s2.0-0026087602
- PMID: 2021852
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Article: Comparison of a single layer continuous hand-sewn method and circular stapling in 580 oesophageal anastomoses
Title | Comparison of a single layer continuous hand-sewn method and circular stapling in 580 oesophageal anastomoses |
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Authors | |
Issue Date | 1991 |
Publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk |
Citation | British Journal Of Surgery, 1991, v. 78 n. 3, p. 342-345 How to Cite? |
Abstract | A total of 611 patients with carcinoma of the oesophagus or gastric cardia were operated on between July 1982 and December 1989. Resection was performed in 491 patients (one-stage, 483; two-stage, eight), bypass operation in 97, and 23 had exploration alone. The anastomoses of 580 patients with one-stage resection and bypass operations were evaluated. Hand-sewn anastomosis using a single layer of continuous absorbable monofilament suture was performed in 304 patients (221 resections and 83 bypasses). A stapled anastomosis was performed on 276 patients (262 resections and 14 bypasses). Following resection, there were 11 (5 per cent) anastomotic leaks in the hand-sewn group and ten (3.8 per cent) in the stapled anastomosis group (P = 0.69). Excluding anastomotic leaks, hospital mortality and anastomotic recurrence, stricture occurred in 18 of 172 hand-sewn anastomoses (10.5 per cent) and in 57 of 195 stapled anastomoses (29.2 per cent) (P < 0.001). In patients who had bypass operations there were 12 anastomotic leaks, ten in the hand-sewn group (12.0 per cent) and two in the stapled anastomosis group (14.3 per cent). Only two of the discharged patients with bypass developed anastomotic strictures, a low incidence probably because of short survival. In addition, there were 245 subsidiary anastomoses made in the abdomen by the hand-sewn method as part of the reconstructive procedure, and there was one leak. The results of this non-randomized study suggest that hand-sewn anastomosis using a single layer continuous technique for the oesophagus is as safe as the use of circular staplers; hand-sewn anastomosis is less likely to become stenotic. |
Persistent Identifier | http://hdl.handle.net/10722/172656 |
ISSN | 2023 Impact Factor: 8.6 2023 SCImago Journal Rankings: 2.148 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Fok, M | en_HK |
dc.contributor.author | AhChong, AK | en_HK |
dc.contributor.author | Cheng, SWK | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2012-10-30T06:24:03Z | - |
dc.date.available | 2012-10-30T06:24:03Z | - |
dc.date.issued | 1991 | en_HK |
dc.identifier.citation | British Journal Of Surgery, 1991, v. 78 n. 3, p. 342-345 | en_HK |
dc.identifier.issn | 0007-1323 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/172656 | - |
dc.description.abstract | A total of 611 patients with carcinoma of the oesophagus or gastric cardia were operated on between July 1982 and December 1989. Resection was performed in 491 patients (one-stage, 483; two-stage, eight), bypass operation in 97, and 23 had exploration alone. The anastomoses of 580 patients with one-stage resection and bypass operations were evaluated. Hand-sewn anastomosis using a single layer of continuous absorbable monofilament suture was performed in 304 patients (221 resections and 83 bypasses). A stapled anastomosis was performed on 276 patients (262 resections and 14 bypasses). Following resection, there were 11 (5 per cent) anastomotic leaks in the hand-sewn group and ten (3.8 per cent) in the stapled anastomosis group (P = 0.69). Excluding anastomotic leaks, hospital mortality and anastomotic recurrence, stricture occurred in 18 of 172 hand-sewn anastomoses (10.5 per cent) and in 57 of 195 stapled anastomoses (29.2 per cent) (P < 0.001). In patients who had bypass operations there were 12 anastomotic leaks, ten in the hand-sewn group (12.0 per cent) and two in the stapled anastomosis group (14.3 per cent). Only two of the discharged patients with bypass developed anastomotic strictures, a low incidence probably because of short survival. In addition, there were 245 subsidiary anastomoses made in the abdomen by the hand-sewn method as part of the reconstructive procedure, and there was one leak. The results of this non-randomized study suggest that hand-sewn anastomosis using a single layer continuous technique for the oesophagus is as safe as the use of circular staplers; hand-sewn anastomosis is less likely to become stenotic. | en_HK |
dc.language | eng | en_US |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk | en_HK |
dc.relation.ispartof | British Journal of Surgery | en_HK |
dc.subject.mesh | Anastomosis, Surgical | en_US |
dc.subject.mesh | Constriction, Pathologic | en_US |
dc.subject.mesh | Esophageal Neoplasms - Surgery | en_US |
dc.subject.mesh | Esophagus - Pathology - Surgery | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Postoperative Complications | en_US |
dc.subject.mesh | Surgical Staplers | en_US |
dc.subject.mesh | Suture Techniques | en_US |
dc.title | Comparison of a single layer continuous hand-sewn method and circular stapling in 580 oesophageal anastomoses | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Cheng, SWK: wkcheng@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Cheng, SWK=rp00374 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1002/bjs.1800780323 | - |
dc.identifier.pmid | 2021852 | - |
dc.identifier.scopus | eid_2-s2.0-0026087602 | en_HK |
dc.identifier.volume | 78 | en_HK |
dc.identifier.issue | 3 | en_HK |
dc.identifier.spage | 342 | en_HK |
dc.identifier.epage | 345 | en_HK |
dc.identifier.isi | WOS:A1991FE47300021 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Fok, M=7005879262 | en_HK |
dc.identifier.scopusauthorid | AhChong, AK=6507766297 | en_HK |
dc.identifier.scopusauthorid | Cheng, SWK=7404684779 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0007-1323 | - |