Comparison of Staplers vs Sutures gastrojejunostomy in terms of anastomotic time and leakage

Abstract

Objective: To compare the outcome of use of staplers versus sutures in gastrojejunostomy in terms of mean anastomotic time and anastomotic leakage.
Methodology: This randomized controlled trial was conducted in surgical unit - I. Services hospital Lahore from 01-10-2014 to 31-12-2015. After approval from ethical committee, Non purposive convenient sampling technique was used.60 patients were selected for study and equally divided in two equal groups. In Group A, sutured gastrojejunostomy and in Group B, stapled gastrojejunostomy was performed. Anastomotic time (minutes) and anastomotic leakage were noted in both groups. Anastomotic time was calculated from start of anastomosis till completion. SPSS version 20 was used for data analysis. Hypothesis was tested by student T test and chi square test was used to show association between different variables. P value less than 0.05 was considered as significant.
Results: In this study 63.33 % (N=38) patients were females and 36.66 % (N=22) were males. Anastomotic time was calculated to be 24.8 ± 2.78 min in Group A (Sutured) and 14.87 ± 2.98 min in Group B (Stapled) with a p-value of 0.00001 which is highly significant. 10% (N=03) patients had anastomotic leakage in Group A (Sutured) as compared to 3.33 % (N=01) patients in Group B (Stapled) with P value = 0.3 which is statistically insignificant.
Conclusion: Stapled gastrojejunostomy is better due to reduced mean anastomotic time. Although there is decreased frequency of anastomotic leakage than sutured gastrojejunostomy but it is not statistically significant.