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One hundred patients undergoing elective left-sided colonic or rectal resections were randomly allocated to have an anastomosis performed either with the EEA stapling gun or by hand suture using a single layer of interrupted sutures. In six patients the anastomosis could not be performed with the stapling gun. Clinical leakage occurred in two of the remaining 94 cases; both had hand-sutured anastomoses. Radiological leakage was demonstrated in 13 further cases (7 stapled, 6 sutured); there was no statistical difference in leakage rate with stapled and hand-sutured anastomoses.

Original publication




Journal article


Br J Surg

Publication Date





345 - 348


Adult, Aged, Costs and Cost Analysis, Female, Humans, Intestine, Large, Length of Stay, Male, Middle Aged, Postoperative Complications, Surgical Staplers, Surgical Wound Dehiscence, Suture Techniques, Time Factors