کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5731399 1611473 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Common side closure type, but not stapler brand or oversewing, influences side-to-side anastomotic leak rates
ترجمه فارسی عنوان
نوع بسته بندی معمولی، اما نام تجاری استپلر و یا خارجی، بر میزان نشت ناشی از یک طرفه به سمت هوا تاثیر می گذارد
کلمات کلیدی
نشت انستوموتیک، سمت آناستوموز جانبی، منگنه، دستگاه نام تجاری، بیرون آوردن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundAnastomotic leak (AL) increases costs and cancer recurrence. Studies show decreased AL with side-to-side stapled anastomosis (SSA), but none identify risk factors within SSAs. We hypothesized that stapler characteristics and closure technique of the common enterotomy affect AL rates.MethodsRetrospective review of bowel SSAs was performed. Data included stapler brand, staple line oversewing, and closure method (handsewn, HC; linear stapler [Barcelona technique], BT; transverse stapler, TX). Primary endpoint was AL. Statistical analysis included Fisher's test and logistic regression.Results463 patients were identified, 58.5% BT, 21.2% HC, and 20.3% TX. Covidien staplers comprised 74.9%, Ethicon 18.1%. There were no differences between stapler types (Covidien 5.8%, Ethicon 6.0%). However, AL rates varied by common side closure (BT 3.7% vs. TX 10.6%, p = 0.017), remaining significant on multivariate analysis.ConclusionClosure method of the common side impacts AL rates. Barcelona technique has fewer leaks than transverse stapled closure. Further prospective evaluation is recommended.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 213, Issue 3, March 2017, Pages 590-595
نویسندگان
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