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Right hemicolectomy with a linear cutting stapler:report of 22 cases

Objective To determine the application of linear cutting stapler in right hemicolectomy. Methods In the treatment group,side-to-side anastomosis was constructed by using a linear cutting stapler (Advant 55) after right hemicolectomy. Conventional ileum-colon anastomosis was made in the control group. Data included operation time,blood loss,anastomotic leakage,intestinal obstruction,anastomotic stenosis,intestinal function recovery time,and defecation frequency 12 days after operation. Differences were evaluated with Ficher's exact test and Student's t test. Results In the treatment group,operative time,blood loss and defecation frequency 12 days after operation were all less than those in the control group (P0.05). The morbidity of postoperative anastomotic leakage,bowel obstruction,anastomotic stenosis,intestinal function recovery time reduced in the treatment group; however,the differences were not significant (P0.05) Conclusion The application of linear cutting stapling in side-to-side anastomosis following right hemicolectomy is feasible and effective.