Abounozha Sabry, Kheder Adel, Alshahri Talal, Ibrahim Rashid
Department of General Surgery, Northumbria Healthcare NHS Foundation Trust, Northumbria, UK.
Department of General Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Ann Med Surg (Lond). 2020 Nov 28;60:619-622. doi: 10.1016/j.amsu.2020.11.075. eCollection 2020 Dec.
A best evidence topic has been constructed using a described protocol. The three-part question addressed was: is ileocolic anastomotic leak rate higher in handsewn or stapler's anastomosis? Using the reported search, 150 papers were found. 6 studies were deemed to be suitable to answer the question. The outcomes assessed were anastomotic leaks rate in hands Sewn and stapler's ileocolic anastomosis. The evidence does not provide an agreed consensus for which modalities of anastomosis have higher anastomotic leaks rate. Until a high quality randomized control trial is performed, the authors recommend an individual approach in a term of selection of which anastomotic modalities to be used.
一个最佳证据主题已按照既定方案构建完成。所提出的三部分问题是：手工缝合或吻合器吻合的回结肠吻合口漏发生率更高吗？通过报告的检索方式，共找到150篇论文。其中6项研究被认为适合回答该问题。所评估的结果是手工缝合和吻合器回结肠吻合的吻合口漏发生率。现有证据并未就哪种吻合方式吻合口漏发生率更高达成共识。在开展高质量随机对照试验之前，作者建议在选择吻合方式时采取个体化方法。
