Isoperistaltic versus antiperistaltic stapled side-to-side XXXX for @entity694 surgery: a randomized controlled trial.

@entity1 @entity834 @entity548 @entity254 @entity850 @entity694
BACKGROUND: Isoperistaltic stapled side-to-side @entity254 (SSSA), which is a modified technique from conventional antiperistaltic SSSA, has the benefits of antiperistaltic SSSA but requires less intestinal mobility. The aim of this randomized controlled trial was to evaluate short-term outcomes of isoperistaltic SSSA comparing them with antiperistaltic SSSA during @entity694 surgery. MATERIALS AND METHODS: We conducted a randomized controlled trial of @entity1 with @entity694 who underwent elective curative resection and had enough intestinal mobility at @entity254 . The primary outcome was the presence of anastomotic failure, including leakage, @entity548 , and @entity850 . RESULTS: Between July 2012 and January 2014, forty @entity1 were enrolled (20 @entity1 in each group). The study was suspended on detecting excess morbidity in the isoperistaltic SSSA group. No significant differences were observed in all preoperative backgrounds between the two groups. @entity834 was seen in two @entity1 in the isoperistaltic SSSA group, compared with none in the antiperistaltic SSSA group, although the difference was not statistically significant (P  =  0.487). One @entity1 in the antiperistaltic SSSA group had @entity850 , which improved conservatively, compared with none in the isoperistaltic SSSA group (P  =  1.000). No @entity548 was seen in either group. There was no significant difference in the median postoperative hospital stay (P  =  0.313). CONCLUSIONS: This study did not show any short-term advantage or disadvantage of isoperistaltic SSSA compared with that of antiperistaltic SSSA. However, considering that @entity834 occurred only in the isoperistaltic SSSA group, additional modifications are recommended to perform safe isoperistaltic SSSA for colon surgery.
