Related Experiment Video
Updated: May 7, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Stapled vs hand suture closure of loop ileostomy: a meta-analysis
1Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Summary
Stapled ileostomy closure significantly reduces the risk of postoperative small bowel obstruction (SBO) compared to hand-sewn methods. This technique also leads to shorter operating times and hospital stays for patients undergoing colorectal surgery.
Area of Science:
- Colorectal Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Loop ileostomies are frequently utilized in colorectal surgery to mitigate complications from distal anastomotic failure.
- The optimal surgical method for ileostomy closure remains undefined, prompting comparative research.
Purpose of the Study:
- To conduct a meta-analysis comparing stapled versus hand-sewn ileostomy closure techniques.
- To evaluate the impact of closure technique on postoperative outcomes.
Main Methods:
- A comprehensive literature search was performed across EMBASE, PubMed, and the Cochrane Library.
- Studies reporting stapled and hand-sewn ileostomy closure were identified and analyzed.
- Key endpoints included postoperative small bowel obstruction (SBO), anastomotic leakage, wound infection, overall complications, operation time, hospital stay, and cost.
Main Results:
- The meta-analysis included 14 studies with 5084 patients.
- Stapled closure was associated with significantly lower rates of overall and early SBO (OR = 0.56, P < 0.00001).
- Stapled closure also resulted in shorter inpatient stays (mean difference -1.22 days, P < 0.0001) and operating times (mean difference -11.21 minutes, P = 0.01).
Conclusions:
- Stapled side-to-side anastomosis for ileostomy closure is linked to fewer complications, particularly SBO, compared to hand-sewn methods.
- The stapled technique is more efficient, requiring less operative time and leading to reduced postoperative bowel obstructions.
