Analysis of gastrointestinal stapler in surgical reconstruction of digestive tract complications

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Abstract: Objective: To observe the complications of gastrointestinal anastomat in digestive tract reconstruction in the incidence of its pr

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Abstract: Objective: To observe the complications of gastrointestinal anastomat in digestive tract reconstruction in the incidence of its prevention. Methods; 400 cases of gastric and colorectal cancer and portal hypertension patients were randomly divided into two groups: Stapler group and manual suture group, 200 cases in each group. The stapler group gastrointestinal anastomat in digestive tract reconstruction; manual suture group using manual suture for digestive tract reconstruction. Results: the stapler group had 5 cases (2.5%) had anastomotic fistula, 1 cases died; 4 cases (2%) of anastomotic bleeding, 6 cases of anastomotic stenosis (3%). Anastomotic time was 25-36min, mean 30min; 12 cases (6%) had anastomotic leakage in the manual suture group (n = 4%), of which, there were 1 deaths (n = 8), and anastomotic leakage occurred in 9 cases (4.5%). Anastomosis time 40 ~ 75min. average 58min. Conclusion: the use of stapler in surgical reconstruction of digestive tract, anastomotic complication rate is reduced, can significantly shorten the operation time. But if the use of stapler is improper, can also cause severe anastomotic complications.

 

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