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Efficacy of NiTi Hand CACTM 30 for jejunojejunostomy in gastric cancer surgery: results from a multicenter prospective randomized trial

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Author(s)
Hoon HurHyung Ho KimWoo Jin HyungGyu Seok ChoWook KimSeung Wan RyoSang-Uk Han
Keimyung Author(s)
Ryu, Seung Wan
Department
Dept. of Surgery (외과학)
Journal Title
Gastric Cancer
Issued Date
2011
Volume
14
Issue
2
Abstract
Background Although a novel technique for the performance
of intestinal sutureless anastomosis using a compression
device has recently been investigated, it has not
yet received widespread acceptance. We performed a
multicenter prospective randomized trial in order to
determine the clinical efficacy of the NiTi Hand CACTM
30, a type of compression anastomosis clip (CAC), for
jejunojejunostomy in gastric cancer surgery.
Methods Forty-seven patients from 6 institutions, who
were diagnosed with gastric adenocarcinoma, were enrolled;
these patients were randomized to a CAC group and a
hand-sewn (control) group. Three patients dropped out for
various reasons, and results for 44 patients were finally
analyzed. The CAC group consisted of 20 patients, and
there were 24 patients in the control group.
Results Anastomosis time, the primary endpoint of this
trial, was shorter in the CAC group than in the control
group (P\0.001). However, total operation times
(P = 0.055) did not differ. All reconstructions were completed
by Roux-en-Y anastomosis, and the complication
rates of the two groups did not differ (P = 0.908); however,
jejunojejunostomy leakage occurred in two patients in
the CAC group.
Conclusions Our prospective multicenter clinical trial
showed that the use of the NiTi Hand CACTM 30 for
jejunojejunostomy in gastric cancer surgery was feasible
and could reduce anastomosis time. However, considering
that there were two cases of leakage, extended use of the
NiTi Hand CACTM 30 should be carefully applied.
Keywords Roux-en-Y anastomosis Compression
anastomosis clip Jejunojejunostomy Sutureless
Keimyung Author(s)(Kor)
류승완
Publisher
School of Medicine
Citation
Hoon Hur et al. (2011). Efficacy of NiTi Hand CACTM 30 for jejunojejunostomy in gastric
cancer surgery: results from a multicenter prospective
randomized trial. Gastric Cancer, 14(2), 124–129. doi: 10.1007/s10120-011-0010-z
Type
Article
ISSN
1436-3291
Source
https://link.springer.com/article/10.1007%2Fs10120-011-0010-z
DOI
10.1007/s10120-011-0010-z
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35758
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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