A prospective randomized trial of hand-sutured versus mechanically stapled anastomoses for gastroduodenostomy after distal gastrectomy
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- 作者：Seiji Hori ; Takenori Ochiai ; Yoshio Gunji ; Hideki Hayashi and Takao Suzuki
- 关键词：Billroth I anastomosis ; Stapling technique (EEA) ; Gastric cancer ; Prospective randomized trial
- 刊名：Gastric Cancer
- 出版时间：March 2004
- 出版年：2004
- 期刊代码：74_1436-3291
- 类别：med
- 卷：7
- 期：1
- 页码：24-30
- 数据来源：sp
摘要
Although mechanical stapling is now an established alternative to conventional hand suturing for the construction of gastrointestinal anastomoses, its role in gastroduodenostomy remains to be defined. We compared the clinical outcome after mechanical stapling with that after hand suturing in patients who underwent gastroduodenostomy after distal gastrectomy.Methods From April 2000 through August 2001, a total of 187 patients with gastric cancer who received distal gastrectomy were randomly assigned to reconstruction by mechanically stapled or by hand-sutured gastroduodenal anastomoses.