• Corpus ID: 190842838

Anastomosi meccaniche versus anastomosi manuali nella chirurgia del retto. Esperienza personale

  title={Anastomosi meccaniche versus anastomosi manuali nella chirurgia del retto. Esperienza personale},
  author={Carmelo Scium{\`e} and Girolamo Geraci and Franco Pisello and Enrico Arnone and Marcello Romeo and Giuseppe Modica},
  journal={Il Giornale di chirurgia},
Introduzione. La diffusione negli anni Ottanta delle suturatrici meccaniche ha modificato le abitudini dei chirurghi, sia determinando una riduzione dei tempi operatori nella chirurgia del colon-retto sia consentendo di eseguire resezioni ultrabasse del retto, tuttavia lasciando invariati i tassi di complicanze e ne ha anzi portato alla ribalta delle nuove. Scopo del lavoro e riportare la nostra esperienza in tema di suture meccaniche nelle anastomosi colo-rettali, con particolare attenzione… 

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It seems to confirm that staplers are effective, safe and easy to use, showing a low incidence of complications and they make possible anastomoses otherwise technically impossible.
Infraperitoneal colorectal anastomosis: hand-sewn versus circular staples. A controlled clinical trial. French Associations for Surgical Research.
Routine or regular use of stapling instruments for infraperitoneal colorectal anastomosis cannot be advocated because of higher incidence of mishaps and strictures, even though the operation takes less time to perform and anastOMotic leakage occurs less often.
Comparison of Manually Constructed and Stapled Anastomoses in Colorectal Surgery
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Results of laparoscopic treatment of rectal cancer: analysis of 520 patients
In patients undergoing AR a trend towards limited oncologic radicality, and a significant increase in the anastomotic leak rate related to the distance of the tumour from the anal verge were observed, and laparoscopic AR cannot at present be generally recommended.
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