Abstract
Laparoscopic surgery is now being applied for colonic resection, and one of the key challenges is fashioning a sound anastomosis. The biofragmentable anastomosis ring, a modern version of the Murphy Button, has been utilized in a series of experiments to develop and evaluate laparoscopic anatomotic techniques. A series of purpose-built devices were used to fashion left and right simulated colectomies as well as for a variety of other anastomoses. Survival animal experiments were performed and demonstrate the feasibility of this technique.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bubrick MP, Corman ML, Cahill CJ (1991) Prospective, randomized trial of the biofragmentable anastomotosis Ring. Am J Surg 161: 136–143
Bundy CA, Zera RT, Onstad GA, Bilodeau LL, Bubrick MP (1992) Comparative surgical and colonoscopic appearance of colon anastomoses constructed with sutures, staples and the biofragmentable anastomosis ring. Surg Endosc 6: 18–22
Corman ML, Prager ED, Hardy TG, Bubrick MP (1989) Comparison of the Valtrac Biofragmentable Anastomosis Ring with conventional suture and stapled anastomosis in colon surgery. Results of a prospective, randomized clinical trial. Dis Colon Rectum 32: 183–187
Dagnini G (1980) Clinical laparoscopy. Piccin, Padua, p 231
Forde KA, McLarty AJ, Tsai June, Ghalili K, Delany HM (1993) Murphys button revisited: clinical experience with the biofragmentable anastomotic ring. Ann Surg 217: 78–81
Fowler DL, White SA (1991) Laparoscopy assisted sigmoid resection. Surg Lap Endosc 1: 183–188
Gullichsen R, Havia T, Ovaska J, Rantala A (1992) Colonic anastomosis using the biofragmentable anastomotic ring and manual suture: a prospective randomized study. Br J Surg 79: 578–580
Gullichsen R, Ovaska J, Havia T, Yrjana J, Efkors T (1993) What happens to the Valtrac anastomosis of the colon? A follow-up study. Dis Colon Rectum 36: 362–365
Hardy TG, Pace WG, Maney JW, Katz AR, Kaganov AL (1985) A biofragmentable ring for sutureless bowel anastomosis: an experimental study. Dis Colon Rectum 28: 484–490
Hardy TG, Pace WG, Maney JW, Katz AR, Kaganov AL (1985) A biofragmentable ring for sutureless bowel anastomosis: an experimental study. Dis Colon Rectum 28: 484–490
Nathanson LK (1993) The sutured laparoscopic gastrointestinal anastomosis. In: Hunter JG, Sackier JM (eds) Minimally invasive surgery. McGraw-Hill, Philadelphia
Sackier JM (1993) Laparoscopic colon and rectal surgery. In: Hunter JG Sackier JM (eds) Minimally invasive surgery. McGraw-Hill, Philadelphia
Sackier JM, Slutzki S, Wood CB, Negri M, Moor EV, Halevy A (1993) Laparoscopic endocorporeal mobilization followed by extracorporeal sutureless anastomosis for the treatment of carcinoma of the left colon. Dis Colon Rectum 36: 610–612
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sackier, J.M., Jessup, G., Krenz, H. et al. Biofragmentable anastomosis ring for laparoscopic bowel surgery. Surg Endosc 8, 1190–1194 (1994). https://doi.org/10.1007/BF00591048
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00591048