TY - JOUR AU - Nadeem Sharif , AU - Khalid Masood Gondal (T.I), AU - Imran Aslam , AU - Yar Muhammad , AU - Kashif Siddique , PY - 2019/06/22 Y2 - 2024/03/29 TI - Outcome of Hand Sewn Versus Stapled Anastomosis After Transhiatal Esophagectomy JF - Annals of King Edward Medical University JA - Annals KEMU VL - 25 IS - 2 SE - Articles DO - 10.21649/akemu.v25i2.2856 UR - https://www.annalskemu.org/journal/index.php/annals/article/view/2856 SP - AB - <p><strong><em>OBJECTIVE </em></strong></p><p>To compare the outcome of hand sewn versus stapled anastomosis after transhiatal esophagectomy, in terms of <strong>operative time, post-operative bleeding, anastomotic leak, stricture formation and cost of operation.</strong></p><p><strong><em>MATERIAL &amp; METHOD </em></strong></p><p>This was a randomized controlled trial on 60 patients conducted at North and East Surgical Wards, Mayo Hospital/King Edward Medical University, Lahore. These patients were divided into 2 groups,30 patients undergone stapled method and the other 30 undergone hand sewn method anastomosis. Operative and post- operative complications and outcomes were observed including operative time, post-operative bleeding, anastomosis leakage, stricture formation and cost of operation. Patients selection was based on strict inclusion and exclusion criteria and data was analyzed by using SPSS 20.0.&nbsp;&nbsp;&nbsp;</p><p><strong><em>RESULTS </em></strong></p><p>Mean operative time for stapled method (Group A) and hand sewn method (Group B) was 152.00±12.99 and 184.10±17.61 minutes. Mean post-operative bleeding for group A and group B was 63.86±14.56 ml and 128.00±16.66 ml. In group A only 2(6.67%) patients had anastomotic leak while in group B 8(26.67%) patients had anastomotic leak. In group A only 3(10%) patients had stricture formation while in group B 2(6.67%) patients had stricture formation. Mean cost for group A and group B was 627.00±43.48 $ and 270.66±24.76 $ respectively. Except cost all other post-operative parameters like operative time, post-operative bleeding, anastomotic leak and stricture formation were remarkably decreased in patients who underwent stapled method of anastomosis.</p><p><strong><em>&nbsp;</em></strong><strong><em>CONCLUSION </em></strong></p><p>That stapled anastomosis after transhiatal esophagectomy is more effective than hand sewn anastomosis in term of operative and post-operative outcome, but the cost of operation</p> ER -