Clinical effects of the stapler and the traditional manual suture on the radical gastrectomy of gastric cancer.

Objective To investigate the clinical effects of the stapler and the traditional manual suture on the radical resection of gastric cancer.Methods Fifty-six patients of gastric cancer were selected and carried out with stapled transabdominal radical gastrectomy(the stapler group,n=30) and the conventional transthoracic or thoracic and abdominal operation(the manual suture group,n=26).The clinical effect,complications and follow-up results of two groups after operation were compared.Results The operation time of the stapler group was(67.3±13.3) min,the gastrointestinal function recovery time was(51.3±5.6) h,the hospitalization time was(6.8±2.3) d and the amount of bleeding during the operation was(84.2±12.6) ml,all significantly lower than those of the manual suture group(P 0.05).The postoperative complications of the stapler group were significantly less than those of the manual suture group(P0.05),while the rate of local metastasis,distant metastasis,the 1-year,2-year recurrence rate and the 1-year,2-year survival rate showed no significant difference between the two groups(P0.05).Conclusion The stapled transabdominal radical gastrectomy could shorten the operation time and reduce the bleeding volume,with recovery rapid and fewer complications,which should be recommended if conditions permit.