| Triangulating stapling technique for reconstruction after colectomy. | |
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MedLine Citation:
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PMID: 17523286 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: To retrospectively compare the triangulating stapling technique for colocolonic anastomosis with hand-sewn anastomosis and functional end-to-end anastomosis. METHODOLOGY: Data from 646 patients who underwent colectomy for cancer from 1993 to 2004 were extracted by chart review. Patients were divided into three groups based on the type of anastomosis: handsewn (n=233), functional end-to-end (n=71), and the triangulating stapling method (n=346). Demographic data and clinical characteristics of the three groups were similar. RESULTS: Anastomotic leakage was significantly more common in the hand-sewn group than the triangular stapling group (hand-sewn; 3.0%, functional end-to-end; 2.8%, triangulating, 0.6%) (P < 0.05). No patient developed bleeding or stenosis at the anastomosis, and the incidence of wound infection was equivalent among the three groups. One death due to anastomotic failure occurred in each of the functional end-to-end and triangulating stapling groups. The cost of triangulating stapling was approximately Yen 36,000 lower than the cost of the functional end-to-end anastomosis. CONCLUSIONS: The triangulating stapling technique is an attractive alternative to other methods for creating a colocolonic anastomosis. |
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Authors:
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Y Fukunaga; M Higashino; S Tanimura; Harushi Osugi |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 54 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-05-25 Completed Date: 2007-08-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 414-7 Citation Subset: IM |
Affiliation:
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Department of Gastroenterological Surgery, Osaka City General Hospital, Japan. YosukeF@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Anastomosis, Surgical / economics, methods* Colectomy / economics, methods* Colonic Neoplasms / economics, pathology, surgery* Colostomy / economics, methods Cost-Benefit Analysis Female Humans Laparoscopy / economics, methods Male Middle Aged Neoplasm Staging Palliative Care Postoperative Complications / etiology* Retrospective Studies Surgical Staplers* / economics Suture Techniques* / economics |
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