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http://hdl.handle.net/11452/34265
Başlık: | Initial clinical experience with a powered circular stapler for colorectal anastomosis |
Yazarlar: | Atallah, Sam Banda, N. Banda, A. Bawaney, F. Cabral, Francisco Neychev, Vladimir Patel, Chetak Larach, S. Uludağ Üniversitesi/Tıp Fakültesi. 0000-0001-5555-8421 Kural, Said DVZ-3988-2022 57215843952 |
Anahtar kelimeler: | Gastroenterology & hepatology Surgery Ergonomics Surgeons Size Powered EEA Echelon circular stapler Intelligent surgical stapling Colorectal anastomosis Powered surgical stapler 3D stapler |
Yayın Tarihi: | May-2020 |
Yayıncı: | Springer |
Atıf: | Atallah, S. vd. (2020). "Initial clinical experience with a powered circular stapler for colorectal anastomosis". Techniques in Coloproctology, 24(5),479-486. |
Özet: | Background: The Echelon circular powered stapler (ECP stapler) obviates the need for manual firing of conventional circular staplers during the construction of a colorectal anastomosis, but has not been evaluated clinically. The aim of this study was to perform a clinical evaluation of this stapler. Methods: A retrospective review of the initial clinical experience of a single surgeon using the ECP stapler for left-sided colorectal anastomosis construction during elective colorectal resections for benign and malignant disease was conducted by analyzing results from a prospectively maintained study database. Additionally, four attending colorectal and/or general surgeons who had performed ≥ 5 colorectal operations with the ECP stapler were invited to complete an anonymous online survey to subjectively assess the user experience with the device. Statistical analysis was conducted using Microsoft Excel Version 15.33. Results: Seventeen patients underwent left-sided anastomotic reconstruction using the ECP stapler. All donuts (proximal and distal) were intact. Anastomotic integrity was evaluated using the air-leak test utilizing flexible video sigmoidoscopy. No leaks were observed, although one patient (5.9%) developed a postoperative pelvic abscess. The anonymous survey was completed by all four surgeons. Subjective evaluation of the ECP stapler suggests that the overall stapling quality, overall device ease-of-use, and the overall perception of anastomotic quality as above average when compared to manual ‘end-to-end anastomosis’ (EEA) stapling devices. Conclusions: In an initial clinical evaluation of the ECP stapler, the safety and ease-of-use of the device appears to be satisfactory. Powered stapling and the design of ‘3D stapling’ may provide advantages over manual systems, and may improve the construction quality of left-sided colorectal anastomosis. |
URI: | https://doi.org/10.1007/s10151-020-02162-4 https://pubmed.ncbi.nlm.nih.gov/32193667/ http://hdl.handle.net/11452/34265 |
ISSN: | 11236337 1128-045X |
Koleksiyonlarda Görünür: | Scopus Web of Science |
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