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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4022756 | PMC |
| http://dx.doi.org/10.3393/ac.2014.30.2.77 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Interlayer Tailoring of Ti-6Al-4V and 17-4PH Stainless Steel Joint by Tungsten Inert Gas Welding.
Materials (Basel)
June 2023
Department of Materials Science & Engineering, Hanbat National University, Daejeon 34158, Republic of Korea.
The development of robust and efficient methods for constructing and joining complex metal specimens with high bonding quality and durability is of paramount importance for various industries, e.g., aerospace, deep space, and automobiles.
View Article and Find Full Text PDFCone-beam Computed Tomographic Analysis of Deciduous Root Canals after Instrumentation with Different Filing Systems: An Study.
Int J Clin Pediatr Dent
January 2022
Department of Pedodontics and Preventive Dentistry, Sardar Patel Post Graduate Institute of Dental Sciences, Lucknow, Uttar Pradesh, India.
Aim And Objective: To evaluate root canal transportation, centering ability ratio (CAR), remaining dentine thickness, dentinal cracks, and instrumentation time after instrumentation with different filing systems in root canals of primary teeth by cone beam computed tomography (CBCT) analysis.
Materials And Methods: Sixty prepared canals of primary teeth divided into 4 groups with 15 canals in each were prepared with NiTi K files, Proaper Next (PTN) files, OneShape (OS), and WaveOne (WO) files, respectively. Using CBCT scan, the pre- and postinstrumentation scan was done to obtain images at three levels (apical, middle, and cervical).
A systematic analysis of controlled clinical trials using the NiTi CAR™ compression ring in colorectal anastomoses.
Tech Coloproctol
March 2017
Department of Surgery and Transplantation, Chaim Sheba Medical Center, Ramat Gan, Israel.
Anastomotic leak following colorectal surgery can be a devastating adverse event. The ideal stapling device should be capable of rapid creation of an anastomosis with serosal apposition without the persistence of a foreign body or a foreign body reaction which potentially contribute to early anastomotic dehiscence or late anastomotic stricture. A systematic review was performed examining available data on controlled randomized and non-randomized trials assessing the NiTi compression anastomosis ring-(NiTi CAR™) (NiTi Solutions, Netanyah Israel) in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) standards.
View Article and Find Full Text PDFEfficacy and safety of a NiTi CAR 27 compression ring for end-to-end anastomosis compared with conventional staplers: A real-world analysis in Chinese colorectal cancer patients.
Clinics (Sao Paulo)
May 2016
Sun Yat-Sen University Cancer Center; State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Department of Colorectal Surgery, Guangzhou, P.R., China.
Objectives: This study aimed to evaluate the safety and efficacy of a new nickel-titanium shape memory alloy compression anastomosis ring, NiTi CAR 27, in constructing an anastomosis for colorectal cancer resection compared with conventional staples.
Methods: In total, 234 consecutive patients diagnosed with colorectal cancer receiving sigmoidectomy and anterior resection for end-to-end anastomosis from May 2010 to June 2012 were retrospectively analyzed. The postoperative clinical parameters, postoperative complications and 3-year overall survival in 77 patients using a NiTi CAR 27 compression ring (CAR group) and 157 patients with conventional circular staplers (STA group) were compared.
Can a nickel-titanium memory-shape device serve as a substitute for the stapler in gastrointestinal anastomosis? A systematic review and meta-analysis.
J Surg Res
March 2016
Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Background: Recently, a nickel-titanium (NiTi) memory-shape device has been successfully used in gastrointestinal anastomosis. The aim of this study was to investigate the feasibility and safety of the device.
Methods: Four databases, reference lists, and the World Health Organization International Clinical Trials Registry Platform were systematically searched for randomized controlled trials assessing the clinical efficacy of a NiTi memory-shape device compared with that of a stapler in gastrointestinal or colorectal anastomosis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!