Taebong Kim

Handsewn versus stapled gastroduodenostomy in patients with gastric cancer: long-term follow-up of a randomized clinical trial.

BackgroundThe role of circular staplers in gastroduodenostomy during subtotal gastrectomy for gastric cancer has not been defined clearly.MethodsA randomized clinical trial included patients with gastric cancer who underwent subtotal gastrectomy with either stapled (99 patients) or handsewn gastroduodenostomy (98 patients). The anastomosis time and postoperative outcomes in the two groups were compared.ResultsPerformance of stapled gastroduodenostomy was significantly quicker than handsewn gastroduodenostomy. There were no significant differences between the groups in postoperative course, morbidity and mortality rates, survival rate, and recurrence pattern.ConclusionsStapled gastroduodenostomy with a circular stapler can reduce the anastomosis time with relative safety.