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Anastomosis by use of compression anastomosis ring (CAR™ 27) in laparoscopic surgery for left-sided colonic tumor.
Koo, Eun-Jung; Choi, Hong-Jo; Woo, Jin-Hee; Park, Ki-Jae; Roh, Young-Hoon; Kim, Ki-Han; Lee, Hak-Yoon.
Affiliation
  • Koo EJ; Department of Surgery, Dong-A University Medical Center, 3-1 Dongdaeshin-Dong, Seo-Gu, Pusan, 602-715, South Korea.
Int J Colorectal Dis ; 27(3): 391-6, 2012 Mar.
Article in En | MEDLINE | ID: mdl-21909697
ABSTRACT

PURPOSE:

The safety and efficacy of the compression anastomosis ring (CAR™ 27) had been demonstrated by animal studies. This study was designed to evaluate clinical validity of the CAR™ 27 anastomosis in laparoscopic surgery for patients with left-sided colonic neoplasm.

METHODS:

Intracorporeal anastomosis using the CAR™ 27 (CAR group) was performed in 66 patients (male 35; median age, 64.5 years), and short-term results were compared with consecutive 116 patients (male 70; median age, 64 years) where the anastomosis was constructed by double stapling technique using a circular stapler for the same indications (stapled group).

RESULTS:

There were no statistically significant differences between the two groups in terms of gender, age, and distribution of pathologic lesion. The laparoscopic procedures, pathologic diagnosis/stage, and length of operation time and postoperative hospital stay were comparable between the two groups. Conversion rate in the CAR and stapled group was 3% and 6%, respectively. There was no surgical mortality in either group. No intraoperative complications associated with the CAR™ 27 anastomosis were encountered. One patient in the CAR group was complicated by anastomotic leakage and none in the stapled group (p = 0.36). There was intestinal obstruction in two patients, in whom one required re-operation for entrapped small bowel adhesions within pelvis. No patient in either group showed symptomatic anastomotic stricture.

CONCLUSIONS:

The anastomosis using the CAR™ 27 is an innovative technique. The CAR™ 27 anastomosis in patients undergoing laparoscopic colectomy for left-sided colonic tumor proved to be a safe and efficacious alternative to the standard double stapling technique.
Subject(s)

Full text: 1 Database: MEDLINE Main subject: Colon, Sigmoid / Anastomosis, Surgical / Colonic Neoplasms / Colon, Descending Type of study: Etiology_studies Limits: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Language: En Journal: Int J Colorectal Dis Journal subject: GASTROENTEROLOGIA Year: 2012 Type: Article Affiliation country: South Korea

Full text: 1 Database: MEDLINE Main subject: Colon, Sigmoid / Anastomosis, Surgical / Colonic Neoplasms / Colon, Descending Type of study: Etiology_studies Limits: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Language: En Journal: Int J Colorectal Dis Journal subject: GASTROENTEROLOGIA Year: 2012 Type: Article Affiliation country: South Korea