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Abstract
This study of 106 patients who had end-to-end anastomoses (EEA) performed by 26 surgeons
in 11 hospitals reports the operative and postoperative complications of using the
EEA stapling device. The complications are probably exaggerated, because this study
involves the initial experiences of many surgeons. The 106 patients included 78 patients
with colon anastomoses, 3 with small intestinal anastomoses, and 25 with gastric anastomoses.
The mortality rate included two patients (1.9%) with low rectal anastomoses who died
of problems associated with the EEA stapler. The anastomotic morbidity rate included
9 operative complications (9%), which were corrected at operation, and 12 postoperative
complications (11%), which included leaks (4), fistula (4), and stenosis (4). Intra-abdominal
abscess occurred in 3 and wound infections in 19 patients (18%). The EEA stapler requires
practice and specific skills for its safe use. The EEA stapler makes a reliable, inverted
anastomosis and can be used successfully throughout the gastrointestinal tract.
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References
- Stapled vs. sutured colorectal anastomosis.Arch Surg. 1980; 115: 1436-1438
- Randomized prospective evaluation of the EEA stapler for colorectal anastomoses.Am J Surg. 1981; 141: 143-147
- New techniques of gastrointestinal anastomoses with the EEA stapler.Ann Surg. 1979; 189: 587-600
- A comparison of end-to-end staple and suture colorectal anastomosis in the dog.Surg Gynecol Obstet. 1981; 152: 792-796
- Experience with the EEA stapling device.Am J Surg. 1980; 139: 549-553
Article info
Publication history
Accepted:
March 4,
1982
Identification
Copyright
© 1982 Published by Elsevier Inc.
