Clinical research of digestive tract reconstruction performed with the nickel-titanium temperature-dependent memory-shape device after distal gastrectomy
1,2Xinxiang Li MD, 1Shanjun Cai MD, 2Jianxin Ye MD, 2Zheng Shi, MD
3Chengzhu zheng MD, 4Raul J. Rosenthal MD
1Department of Colorectal Surgery, Fudan University Cancer Hospital,
Shanghai CHINA 200032
2Department of Surgery, The First Hospital Affiliated To Fujian Medical University ,
Fuzhou Fujian350004, CHINA
3Department of Minimally Invasive Surgery, Changhai Hospital of the Second Military
Medical University, Shanghai, 200433, CHINA
4The Bariatric & Metabolic Institute and Section of Minimally Invasive Surgery
Cleveland Clinic Florida, Weston, FL 33331, USA
Xinxiang Li, MD
Department of Colorectal Surgery, Fudan University Cancer Hospital,
Shanghai CHINA 200032
Tel: +86-021-137 6129 1659
0bjective: To evaluate the the safety and efficacy of the compression anastomosis clip (CAC) for gastrointestinal anastomosis.
Method: From January 2006 to December 2007, 84 patients with distal gastric cancer undergoing distal gastrectomy were randomly divided into two groups for billroth II gastrointestinal anastomosis. There were 42 patients in each group. In the research group, CAC was used for side-to-side gastrointestinal anastomosis; Imported disposable metal tube-type stapler was used for side-to-side gastrointestinal anastomosis in the control group. After the operation, anastomotic complications, the time for resumption of intestinal function, and the time for discharge of CAC were evaluated.
Results: The postoperative recovery of patients inCAC and stapled anastomosis groups was similar. None of the patients in the two groups had anastomotic complications. The time to resumption of bowel function was similar in both groups(p>0.05). The clip was expelled with stool within 14.0 ¡À13.2days. Endoscopic examination after a 6-mo follow-up showed a better healing at the compression anastomosis
Conclusion: Our result strongly suggests that CAC is safe and reliable for gastrointestinal anastomosis.
[Key words]: Stomach neoplasms; Distal gastrectomy ;
Billroth II gastrointestinal anastomosis; Compression anastomosis clip]
Program Number: P323