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[Stapling devices on stomach and small bowel (author's transl)]
Langenbecks Archiv Fur Chirurgie
|January 1, 1981
Summary
Surgical stapling devices offer a fast, safe alternative to traditional suturing for stomach and small bowel procedures. While staplers have comparable safety and mortality rates, their cost is offset by reduced operating time and fewer infections.
Area of Science:
- Surgical Technology
- Gastrointestinal Surgery
Context:
- Explores the application of various surgical stapling devices (LDS, GIA, TA, EEA) in gastrointestinal surgery.
- Compares stapled techniques for stomach and small bowel procedures against conventional suturing methods.
Purpose:
- To evaluate the safety, efficacy, and outcomes of using surgical staplers for gastrointestinal closures and anastomoses.
- To assess the advantages and disadvantages of stapling devices, including operative time, complication rates, and cost-effectiveness.
Summary:
- Surgical staplers enable rapid and clean performance of sutures, blind closures, and anastomoses in the stomach and small bowel.
- Stapling devices demonstrate comparable safety to conventional techniques, with low rates of leakage (1-2.6%) and bleeding (0.7-1%).
- Mortality rates with staplers are equivalent to traditional methods; reduced operative time and infection rates justify the higher initial cost.
Impact:
- Surgical stapling represents a valuable advancement in gastrointestinal surgery, offering improved efficiency and patient safety.
- The findings support the use of stapling devices as a viable and beneficial alternative to manual suturing in specific surgical contexts.