Chen Yikuan, Zhang Ruijia, Fan Juan, Luo Dakui, Gu Weijin, Liu Fangqi, Zhang Wei, Lin Guole, Wang Quan, Li Xinxiang
Department of Colorectal Surgery, Fudan University Shanghai Cancer Center.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai.
Int J Surg. 2025 Jan 1;111(1):1564-1567. doi: 10.1097/JS9.0000000000002010.
Mechanical anastomosis in rectal cancer surgery offers several advantages but is plagued by complications like leaks and strictures. Variations in surgeons' experiences affect outcomes, but powered circular anastomosis has emerged as a promising solution, ensuring uniform staple formation, and reducing manual manipulation. This multicenter, randomized, parallel-controlled study in China compared IntoCare's powered circular staplers (ICS) with manual circular staplers (MCS) in 382 patients (195 ICS, 187 MCS). Both groups had comparable anastomotic leakage rates. ICS significantly reduced anastomosis time while maintaining similar safety profiles. Postoperative recovery and complication rates were closely matched. The use of ICS in rectal cancer surgeries effectively reduces anastomosis time without compromising safety, offering a promising innovation to enhance the efficacy of rectal cancer surgeries while maintaining patient safety.
直肠癌手术中的机械吻合术有诸多优点，但存在诸如渗漏和狭窄等并发症问题。外科医生经验的差异会影响手术结果，而电动圆形吻合术已成为一种有前景的解决方案，可确保均匀的吻合钉形成，并减少手工操作。这项在中国开展的多中心、随机、平行对照研究，将382例患者（195例使用IntoCare电动圆形吻合器，187例使用手动圆形吻合器）的IntoCare电动圆形吻合器（ICS）与手动圆形吻合器（MCS）进行了比较。两组的吻合口漏率相当。ICS在保持相似安全性的同时，显著缩短了吻合时间。术后恢复情况和并发症发生率相近。在直肠癌手术中使用ICS可有效缩短吻合时间，且不影响安全性，为提高直肠癌手术疗效并保障患者安全提供了一项有前景的创新方法。
