INTESTINAL COMPRESSION STAPLER: DEVELOPMENT AND FIRST EXPERIENCE OF CLINICAL APPLICATION IN ONCOSURGERY

Abstract

Aim. To develop and use new techniques of forming circular compression suture in clinical practice for improvement of the results of surgical treatment of colon cancer patients. Materials and methods. An intestinal compression stapler (ICS) was developed by us. Experimental grounding for colonic compression suture by means of this device was carried out. The results of surgical treatment of colon cancer patients made the basis of clinical study. Seventy one patients who experienced formation of colonic anastomosis by the “end to end” type using ICS were operated. The study included planned and emergency operations. Results. A mean time required for formation of colonic anastomosis was 5,8 ± 0,25 minutes. Rejection of compression devices occurred during the period of 8-2 days, mean elimination time was 9,6 ± 1,63 days. The postoperative complication was registered in 1 (1,4 %) patient. No lethal outcomes were detected. The long-term functional results were also studied. Conclusions. Application of ICS for forming anastomosis is simple, effective, reliable; it has positive indirect and remote functional results.

Keywords

Intestinal compression stapler / colon cancer / compression anastomosis

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RIGHTS & PERMISSIONS

Vlasov A.A., Vazhenin A.V., Plotnikov V.V., Vlasov A.V., Fedorov S.V.