Abstract
The EEA stapler is a convenient, well-designed, and reliable instrument. It will anastomose the bowel with reliability and speed at least equivalent to hand-sewn techniques, and probably offers a technical advantage in performing very low rectal anastomoses. Unfortunately, intraoperative misadventures are greater with this device than with hand-sewn techniques, and its use would seem best restricted to those situations in which it has its greatest advantage. Postoperative complications are not increased by its use, but the long-term incidence of anastomotic stricture and possibly increased rate of local recurrence need to be clarified.
Résumé
La pince agrafeuse E.E.A. est un instrument bien adapté, pratique et fiable. Elle permet de réaliser des anastomoses intestinales avec une sécurité et une rapidité equivalentes à celles des techniques classiques. Elle permet surtout de réaliser des anastomoses colo-rectales très basses mais malheureusement les difficultés opératoires sont alors souvent plus grandes que lors de la constitution de l'anastomose à la main. Le taux des complications opératoires n'est pas augmenté mais à long terme celui des rétrécissements est plus grand cependant que le taux des récidives post-opératoires demande a etre apprécié avec soin.
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Beart, R.W., Wolff, B.G. The use of staplers for anterior anastomoses. World J. Surg. 6, 525–530 (1982). https://doi.org/10.1007/BF01657865
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DOI: https://doi.org/10.1007/BF01657865