Niti CAR 27 Versus a Conventional End-to-End Anastomosis Stapler in a Laparoscopic Anterior Resection for Sigmoid Colon Cancer
곽승진, 김준기, 강원경, 이진권, 오성택,
소속 상세정보
곽승진 ( Kwag Seung-Jin )
Gyeongsang National University Hospital Department of Surgery
김준기 ( Kim Jun-Gi )
Catholic University School of Medicine Seoul St. Mary’s Hospital Department of Surgery
강원경 ( Kang Won-Kyung )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
이진권 ( Lee Jin-Kwon )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Surgery
오성택 ( Oh Seong-Taek )
Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Colorectal Surgery
KMID : 0356720140300020077
Abstract
Purpose: The Niti CAR 27 (ColonRing) uses compression to create an anastomosis. This study aimed to investigate the safety and the effectiveness of the anastomosis created with the Niti CAR 27 in a laparoscopic anterior resection for sigmoid colon cancer.
Methods: In a single-center study, 157 consecutive patients who received an operation between March 2010 and December 2011 were retrospectively assessed. The Niti CAR 27 (CAR group, 63 patients) colorectal anastomoses were compared with the conventional double-stapled (CDS group, 94 patients) colorectal anastomoses. Intraoperative, immediate postoperative and 6-month follow-up data were recorded.
Results: There were no statistically significant differences between the two groups in terms of age, gender, tumor location and other clinical characteristics. One patient (1.6%) in the CAR group and 2 patients (2.1%) in the CDS group experienced complications of anastomotic leakage (P = 0.647). These three patients underwent a diverting loop ileostomy. There were 2 cases (2.1%) of bleeding at the anastomosis site in the CDS group. All patients underwent a follow-up colonoscopy (median, 6 months). One patient in the CAR group experienced anastomotic stricture (1.6% vs. 0%; P = 0.401). This complication was solved by using balloon dilatation.
Conclusion: Anastomosis using the Niti CAR 27 device in a laparoscopic anterior resection for sigmoid colon cancer is safe and feasible. Its use is equivalent to that of the conventional double-stapler.
키워드
Anastomotic leak; Colorectal; Compression; Niti
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