Grampeadores mecânicos versus sutura manual em Anastomoses intestinais: uma revisão sistemática

To conduct a systematic review comparing the effectiveness and safety of mechanical staplersversus hand-sewn techniques in intestinal anastomoses, focusing on postoperativecomplications such as leaks, infections, and hospitalization time. Following PRISMAguidelines, articles from 2018 to 2024 were retrieved from PubMed databases. Includedstudies were randomized controlled trials, systematic reviews, and comparative analysesfocused on gastrointestinal anastomosis in humans. Twenty relevant studies were reviewed.Most indicated reduced surgical time and lower stenosis rates with staplers. Anastomotic leakrates were similar between techniques. Manual sutures showed cost-effectiveness andadaptability, especially in pediatric or complex cases. Hybrid techniques also emerged aspromising alternatives. Both techniques have distinct advantages. Staplers offer technicalconsistency and speed, while hand-sewn anastomoses remain viable for selected cases,particularly where cost and anatomical variability are critical.