使用压缩设备替代手工缝合和吻合器吻合结直肠：是否人多手杂？

The use of a compression device as an alternative to hand-sewn and stapled colorectal anastomoses: is three a crowd?

机构信息

Department of Surgery, University of California-Irvine Medical Center, 333 City Blvd. West, Suite 700, Orange, CA 92868, USA.

出版信息

J Gastrointest Surg. 2011 Feb;15(2):304-10. doi: 10.1007/s11605-010-1376-7. Epub 2010 Nov 10.

DOI:10.1007/s11605-010-1376-7

PMID:21063913

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3035790/

Abstract

BACKGROUND

The NiTi CAR™ 27 is a newer device that uses compression to create an anastomosis. An analysis of this device in the creation of colorectal anastomoses in humans has yet to be reported in the USA.

METHODS

A non-randomized, prospective pilot study of the NiTi CAR™ 27 device in patients undergoing a left-sided colectomy between March 2008 and August 2009 was performed.

RESULTS

Twenty-three patients (9 men and 14 women) underwent a left-sided colectomy and compression anastomosis with the CAR™ 27 device. Minor morbidities, 3 of 23 (13%) patients, included one small postoperative abscess requiring antibiotics alone and two postoperative anastomotic strictures requiring balloon dilation. Major morbidities, 1 of 23 (4%) patients, included a partial anastomotic dehiscence/leak requiring surgical dismantling of the anastomosis and diversion.

CONCLUSION

The CAR™ 27 device shows promise as a safe and effective alternative for the creation of colorectal anastomoses. However, studies in a larger patient population are warranted to demonstrate equivalence of this device.

摘要

背景

NiTi CAR™ 27 是一种较新的器械，它采用压缩的方式来进行吻合。在美国，尚未有关于该器械在人类结直肠吻合术中应用的报道。

方法

对 2008 年 3 月至 2009 年 8 月期间接受左侧结肠切除术的患者应用 NiTi CAR™ 27 器械进行非随机、前瞻性的初步研究。

结果

23 例患者（9 名男性，14 名女性）接受了左侧结肠切除术和 CAR™ 27 器械的压缩吻合术。23 例患者中有 3 例（13%）出现轻微并发症，包括 1 例术后小脓肿仅需使用抗生素治疗，2 例术后吻合口狭窄需行球囊扩张。23 例患者中有 1 例（4%）出现严重并发症，包括部分吻合口裂开/渗漏，需要手术拆除吻合口并进行转流。