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Stapled sutures in digestive tract surgery.

G Di Matteo1, A Cancrini, G Palazzini

  • 13rd Department of Surgery, University of Rome, La Sapienza, Italy.

International Surgery
|January 1, 1988
PubMed
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Mechanical sutures show low complication rates in digestive tract surgeries, including esophageal resections and gastrectomies. This six-year study highlights the safety and efficacy of mechanical suturing in various gastrointestinal procedures.

Area of Science:

  • Gastroenterology
  • Surgical Technology
  • Digestive System Surgery

Background:

  • Mechanical sutures have become increasingly utilized in complex digestive tract surgeries.
  • Evaluating the safety and efficacy of mechanical suturing techniques is crucial for surgical outcomes.

Purpose of the Study:

  • To report a six-year experience with mechanical sutures in various digestive tract surgeries.
  • To assess the complication rates and outcomes associated with mechanical suturing in esophageal, gastric, and colonic resections.

Main Methods:

  • Retrospective review of surgical cases utilizing mechanical sutures between 1979 and June 1986.
  • Analysis of operative procedures including esophageal resections, total gastrectomies, jejunal interpositions, partial gastrectomies, colectomies, and formal colonic resections.

Related Experiment Videos

  • Documentation of early postoperative mortality, anastomotic complications (strictures, leaks), and other morbidities.

    • Main Results:

    • Esophageal resections (n=49): 2.2% anastomotic stricture, no suture-related deaths.
    • Total gastrectomies (n=53): 3.9% anastomotic strictures, 1.9% leak, no suture-related deaths.
    • Colonic resections (n=98): 3% anastomotic leaks, 1% stricture, 1% rectal bleeding, 2% anal fissures, no suture-related deaths.
    • Other procedures (jejunal interpositions, partial gastrectomies, Roux-en-Y) showed no operative morbidity or mortality.

    Conclusions:

    • Mechanical sutures demonstrate a favorable safety profile with low complication rates in a wide range of digestive tract surgeries.
    • Strictures and leaks are the primary complications, often manageable with conservative treatment or revision.
    • The study supports the use of mechanical suturing devices in gastrointestinal surgery.