Zusammenfassung
GRUNDLAGEN: Kompressionsanastomosen zeigen ähnliche Ergebnisse bezüglich der Sicherheit in der Anwendung und möglichen Komplikationen verglichen mit Hand- und Klammernahtanastomosen. Trotzdem konnte keine breite Akzeptanz unter Chirurgen erreicht werden. METHODIK: Darstellung einer neuen Anastomosentechnik. ERGEBNISSE: Das NITI CAR 27® Anastomosengerät als technische Weiterentwicklung einer Kompressions anastomose könnte sich durch Beseitigung der Nachteile von Klammernahtanastomosen als überlegen herausstellen, indem das alt bewährte Konzept der Kompressionsanastomosen mit neuen "superelastischen" Materialen kombiniert wird. Die Handhabung dieses Anastomosengerätes ist den weit verbreiteten zirkulären Klammernahtgeräten sehr ähnlich. Trotzdem gibt es wichtige Unterschiede und Fehlerquellen bei falscher Anwendung, auf die wir hier hinweisen wollen. SCHLUSSFOLGERUNGEN: Die ersten Ergebnisse mit dem neuen Stapler sind vielversprechend.
Summary
BACKGROUND: Compression anastomoses have shown to be at least comparable to suturing and stapling techniques regarding safety and complication rates but up to now could not gain wide acceptance among surgeons. METHODS: Presentation of a new stapling technique. RESULTS: The NITI CAR 27® device as a further development of compression anastomosis aims to eliminate the drawbacks of circular stapled anastomosis by combining the old concept of compression anastomosis with the use of superelastic materials. The handling of the device is very similar to staplers, which are in routine use today, but there are important differences and pitfalls we want to point out. CONCLUSIONS: The novel stapling device is a promising tool for anastomosis in colorectal surgery.
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Dauser, B., Herbst, F. NITI Endoluminal Compression Anastomosis Ring (NITI CAR 27®): A breakthrough in compression anastomoses?. Eur Surg 41, 116–119 (2009). https://doi.org/10.1007/s10353-009-0468-7
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DOI: https://doi.org/10.1007/s10353-009-0468-7