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Single‑layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations

  • Authors:
    • Guo‑Cai Li
    • Yu‑Chun Zhang
    • Yong Xu
    • Fang‑Cheng Zhang
    • Wei‑Hua Huang
    • Jian‑Qing Xu
    • Qing‑Jiu Ma

  • View Affiliations

  • Published online on: November 15, 2013     https://doi.org/10.3892/mco.2013.215
  • Pages: 159-165
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Abstract

The key point of digestive cancer surgery is reconstruction and anastomosis of the digestive tract. Traditional anastomoses involve double‑layer interrupted suturing, manually or using a surgical stapler. In special anatomical locations, however, suturing may become increasingly difficult and the complication rate increases accordingly. In this study, we aimed to investigate the feasibility and safety of a new manual suturing method, the single‑layer continuous suture in the posterior wall of the anastomosis. Between January, 2007 and August, 2012, 101 patients with digestive cancer underwent surgery in Xi'an Gaoxin Hospital. Of those patients, 27 underwent surgery with the new manual method and the remaining 74 underwent surgery using traditional methods of anastomosis of the digestive tract. Surgical time, intraoperative blood loss, drainage duration, complications, blood tests, postoperative quality of life (QOL) and overall expenditure were recorded and analyzed. No significant differences were observed in surgical time, intraoperative blood loss, temperature, blood tests and postoperative QOL between the two groups. However, compared with the control group, the new manual suture group exhibited a lower surgical complication rate (7.40 vs. 31.08%; P=0.018), lower blood transfusion volume (274.07±419.33 vs. 646.67±1,146.06 ml; P=0.053), shorter postoperative hospital stay (14.60±4.19 vs. 17.60±6.29 days; P=0.038) and lower overall expenditure (3,509.85±768.68 vs. 6,141.83±308.90 renminbi; P=0.001). Our results suggested that single‑layer continuous suturing for the anastomosis of the digestive tract is feasible and safe and may contribute to the reduction of surgical complications and overall expenditure.
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January-February 2014
Volume 2 Issue 1

Print ISSN: 2049-9450
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Spandidos Publications style
Li GC, Zhang YC, Xu Y, Zhang FC, Huang WH, Xu JQ and Ma QJ: Single‑layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations. Mol Clin Oncol 2: 159-165, 2014.
APA
Li, G., Zhang, Y., Xu, Y., Zhang, F., Huang, W., Xu, J., & Ma, Q. (2014). Single‑layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations. Molecular and Clinical Oncology, 2, 159-165. https://doi.org/10.3892/mco.2013.215
MLA
Li, G., Zhang, Y., Xu, Y., Zhang, F., Huang, W., Xu, J., Ma, Q."Single‑layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations". Molecular and Clinical Oncology 2.1 (2014): 159-165.
Chicago
Li, G., Zhang, Y., Xu, Y., Zhang, F., Huang, W., Xu, J., Ma, Q."Single‑layer continuous suture contributes to the reduction of surgical complications in digestive tract anastomosis involving special anatomical locations". Molecular and Clinical Oncology 2, no. 1 (2014): 159-165. https://doi.org/10.3892/mco.2013.215