Intestinal Anastomosis by Use of a Memory-shaped Compression Anastomosis Clip (Hand CAC 30): Early Clinical Experience
이학윤, 우진희, 박시영, 강남욱, 박기재, 최홍조,
소속 상세정보
이학윤 ( Lee Hak-Youn )
Dong-A University College of Medicine Department of Surgery
우진희 ( Woo Jin-Hee )
Dong-A University Medical Center Department of Surgery
박시영 ( Park Si-Young )
Dong-A University Medical Center Department of Surgery
강남욱 ( Kang Nam-Wook )
Dong-A University Medical Center Department of Surgery
박기재 ( Park Ki-Jae )
Dong-A University Medical Center Department of Surgery
최홍조 ( Choi Hong-Jo )
Dong-A University Medical Center Department of Surgery
KMID : 0356720120280020083
Abstract
Purpose: The safety and the efficacy of the compression anastomosis clip (Hand CAC 30) have been demonstrated by animal studies. This study was designed to evaluate the clinical validity of the Hand CAC 30 in enterocolic side-to-side anastomosis after colonic or enteric resections.
Methods: A non-randomized prospective data collection was performed for patients undergoing a side-to-side anastomosis using the Hand CAC 30. Eligibility criteria for the use of the Hand CAC 30 were for anastomoses between the colon and the ileum or between two small bowels. The primary short-term endpoint was the rate of anastomotic leakage. Other clinical outcomes, including intra- and postoperative complications, length of operation time and hospital stay, and the clip elimination time were recorded.
Results: A total of 63 patients (male, 36) underwent an enteric or right-sided colonic resection followed by a side-to-side anastomosis using the Hand CAC 30. Laparoscopic surgery was performed in 36 patients, in whom one patient who underwent a laparoscopic right hemicolectomy was converted to an open procedure (1/32, 3.1%). One patient with ascending colon cancer showed postoperative anastomotic leakage and died of co-morbid ischemic heart disease. There were no other surgical mortalities. The exact date of expulsion of the clip could not be recorded because most patients were not aware of clip elimination. No patients manifested clinical symptoms of anastomotic stricture.
Conclusion: Short-term evaluation of the Hand CAC 30 anastomosis in patients undergoing enterocolic surgery proved it to be a safe and efficacious alternative to the standard hand-sewn or stapling technique.
키워드
Compression anastomosis; Enterocolic surgery; Anastomotic leak; Hand CAC 30
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