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  • 1 I. sz. Sebészeti Klinika, Semmelweis Egyetem, 1082, Budapest, Üllői út 78.
  • | 2 Veszprém Megyei Cholnoky Ferenc Kórház, Veszprém
  • | 3 Sebészeti Klinika, Szegedi Tudományegyetem, Szeged
  • | 4 Toldy Ferenc Kórház, Cegléd
  • | 5 Pándy Kálmán Kórház, Gyula
  • | 6 Siófok Város Kórház-Rendelőintézete, Siófok
  • | 7 Hetényi Géza Kórház, Szolnok
  • | 8 Petz Aladár Megyei Oktató Kórház, Győr
  • | 9 Uzsoki utcai Kórház, Budapest
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Absztrakt

Jóllehet a körvarrógépek használta világszerte elterjedt, különösen a rectumanastomosisok elkészítésére, a forgalomban lévő eszközök alkalmazhatóságáról kevés közlés lát napvilágot. 2008. május és 2009. március között 9 sebészeti osztályon összesen 136 betegen alkalmaztak CS® körvarrógépeket anastomosis készítésére a rectumon. A prospektív vizsgálat a rectum felső és középső harmadán készített varratokat elemezte, a vizsgálatba 5 olyan esetet is bevontak, ahol az anastomosis a rectum alsó harmadában készült. 115 adenocarcinoma, 16 egyéb malignus daganat, 5 benignus elváltozás miatt került sor infraperitonealis resectióra. 20 műtét laparoscoppal, 116 hagyományos módon történt. A 32 mm átmérőjű eszközt 50, a 28 mm-est 85, a 25 mm-est 1 esetben használták. Intraoperatív technikai hiba 4 esetben fordult elő, a kiegészítő beavatkozással az anastomosis korrigálható volt. Posztoperatív szövődmény ezekben az esetekben nem fordult elő. Késői varratelégtelenséget 5 esetben észleltek, ebből 3 spontán gyógyult, 2 esetben reoperációra került sor. A teljes beteganyagban 2 haláleset fordult elő, ez 1,4%-os mortalitásnak felel meg. A CS® körvarrógépek megfelelőnek bizonyultak infraperitonealis rectumanastomosis céljára.

  • 1. WM Chambers CNJ McMortensen 2004 Postoperative leakage and abscess formation after colorectal surgery Best Practice & Res Clin Gastroenterol 18 865 80.

    • Search Google Scholar
    • Export Citation
  • 2. Ch-G Fu T Muto T Masaki 1997 Results of the Double Stapling Procedure in Colorectal Surgery Surg Today 27 706 9.

  • 3. CJ Hirsch BS Gingold MK Wallack 1997 Avoidance of anastomotic complications in low anterior resection of the rectum Dis Colon Rectum 40 42 6.

    • Search Google Scholar
    • Export Citation
  • 4. J Rose C Schneider C Yildirim P Geers H Scheidbach F Köckerling 2004 Complications in laparoscopic colorectal surgery: results of a multicentre trial Tech Coloproctol 8 25 8.

    • Search Google Scholar
    • Export Citation
  • 5. C Camma M Giunta F Fiorica 2000 Preoperative radiotherapy for resectable rectal cancer JAMA 284 1008 1015.

  • 6. E Kapiteijn 2001 Preoperative radiotherapy combined with total mesorectal excision for respectable rectal cancer N Engl J Med 345 638 46.

    • Search Google Scholar
    • Export Citation
  • 7. Z Tsereteli E Sporn TM Geiger D Cleveland S Frazier A Rawlings SL Bachman BW Miedema K Thaler 2008 Placement of a covered polyester stent prevents complications from a colorectal anastomotic leak and supports healing: Randomized controlled trial in a large animal model Surgery 144 786 92.

    • Search Google Scholar
    • Export Citation
  • 8. ND Karanjia AP Corder P Bearn RJ Heald 1994 Leakage from stapled low anastomosis after total mesorectal excision for carcinoma of the rectum Br J Surg 81 1224 6.

    • Search Google Scholar
    • Export Citation
  • 9. F Marusch A Koch U Schmidt 2002 Value of a protective stoma in low anterior resections for rectal cancer Dis Colon Rectum 45 1164 71.

    • Search Google Scholar
    • Export Citation
  • 10. TE Pakkastie JT Ovaska ES Pekkala 1997 A randomised study of colostomies in low colorectal anastomoses Eur J Surg 163 929 33.

  • 11. HP Van't Sant WF Weidema WCJ Hop HJM Oostvogel CME Contant 2010 The Influence of Mechanical Bowel Preparation in Elective Lower Colorectal Surgery Ann Surg 251 59 63.

    • Search Google Scholar
    • Export Citation
  • 12. CD Knight FD Griffen 1980 An improved technique for low anterior resection of the rectum using EEA stapler Surgery 88 710 4.

  • 13. M Cajozzo G Compagno P DiTora SI Spallitta P Bazan 1990 Advantages and disadvantages of mechanical vs.manual anastomosis in colorectal surgery. A prospective study Acta Chir Scand 156 167 9.

    • Search Google Scholar
    • Export Citation
  • 14. AJ Dziki MD Duncan JW Harmon N Saini RA Malthaner KS Trad MT Fernicola F Hakki F Hakki RM Ugarte 1991 Advantages of handsewn over stapled bowel anastomosis Dis Colon Rectum 34 442 8.

    • Search Google Scholar
    • Export Citation
  • 15. HM MacRae RS McLeod VS Handsewn 1998 Stapled Anastomoses in Colon and Rectal Surgery – A Meta-analysis Dis Colon Rectum 41 180 9.

    • Search Google Scholar
    • Export Citation
  • 16. PB Mclntyre JH Pemberton RW Bear Jr RM Devine S Nivatvongs 1994 Double stapled vs hand sewn ileal pouch anal anastomosis in patients with chronic ulcerative colitis Dis Colon Rectum 37 430 3.

    • Search Google Scholar
    • Export Citation
  • 17. BJ Moran J Blenkinsop D Finnis 1992 Local recurrence afteranterior resection for rectal cancer using a double stapling technique Br J Surg 79 836 8.

    • Search Google Scholar
    • Export Citation
  • 18. E Moritz D Achoeitner N Holbling K Miller T Speil F Weber 1991 Single vs double stapling technique in colorectal surgery. A prospective trial Dis Colon Rectum 34 495 7.

    • Search Google Scholar
    • Export Citation
  • 19. HJ Sugerman HH Newsome 1994 Stapled ileoanal anastomosis without a temporary ileostomy Am J Surg 167 58 65.

  • 20. S Galandiuk BG Wolff RR Dozois RW Beart Jr 1991 Ileal pouch anal anastomosis without ileostomy Dis Colon Rectum 34 870 3.

  • 21. P De Nardi F Panzeri C Staudacher 2008 Prospective trial evaluating new circular and linear stapler devices for gastrointestinal anastomosis: Preliminary data (2008) Techniques in Coloproctol 12 69 72.

    • Search Google Scholar
    • Export Citation
  • 22. A Guweidhi R Steffen A Metzger J Teuscher P Flückiger K Z'graggen 2009 Circular stapler introducer: A novel device to facilitate stapled colorectal anastomosis Diseases of the Colon and Rectum 52 746 8.

    • Search Google Scholar
    • Export Citation
  • 23. H Kaivahara T Kobayashi K Watanabe T Shinoda H Kashiwagi K Yanaga 2009 Colorectal stapling anastomosis without transanal procedure for anterior resection Hepato-Gastroenterology 56 352 4.

    • Search Google Scholar
    • Export Citation
  • 24. MM Lirici AD Califano 2008 Low section of the rectum using the Contour™ device: An alternative technique Surg Endoscopy 22 261 3.

    • Search Google Scholar
    • Export Citation
  • 25. A Picciocchi DM D'ugo V Durastante G Cardollp 1988 Double stapling technique for low colorectal anastomosis after anterior resection for rectal cancer Int Surg 73 19 22.

    • Search Google Scholar
    • Export Citation
  • 26. E Stahle L Pahlman P Enblad 1986 Double stapling technique in the management of rectal tumors Acta Chir Scand 152 743 7.

  • 27. JS Varma AC Chan MK Li AK Li 1990 Low anterior resection of the rectum using a double stapling technique Br J Surg 77 888 90.

  • 28. P Bucher P Wutrich F Pugin M Gonzales P Gervaz P Morel 2008 Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler Surg Endoscopy 22 1278 82.

    • Search Google Scholar
    • Export Citation
  • 29. S Yamamoto S Fujita T Akasu Y Moriya 2005 Safety of laparoscopic intracorporeal rectal transsection with double-stapling technique anastomosis Surgical Laparoscopy 15 70 4.

    • Search Google Scholar
    • Export Citation
  • 30. A Virginali VW Fazio IC Lavery et al.1997 Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1014 patients J Am Coll Surg 185 185 6.

    • Search Google Scholar
    • Export Citation
  • 31. J Wind F Safiruddin MI Van Berge Henegouwen JFM Slors WA Bemelman 2008 Staple line failure using the Proximate® 100 mm linear cutter Dis Colon & Rectum 51 1275 8.

    • Search Google Scholar
    • Export Citation
  • 32. Ch Herfarth 1989 Anastomosetechniken bei tiefer Rektaltumoresektion Langenbecks Arch Chir [Suppl] 2 679 584.

  • 33. Z Cohen E Myers B Langer B Tayger B Taylor RH Tailton C Jamieson 1983 Double stapling technique for low anterior resection Dis Colon Rectum 26 231 5.

    • Search Google Scholar
    • Export Citation
  • 34. SM Feinberg F Parker Z Cohen CG Jamieson ED Myers RH Railton B Langer HS Stern RS McLeod 1986 The double stapling technique for low anterior resection of rectal carcinoma Dis Colon Rectum 29 885 90.

    • Search Google Scholar
    • Export Citation
  • 35. FD Griffen FD Knight CD Knight St JM Whitaken CD Knight Jr 1990 The double stapling technique for low anterior resection: results, modifications and observations Ann Surg 211 745 51.

    • Search Google Scholar
    • Export Citation
  • 36. SR Brown F Seow-Choen KW Eu 2001 A prospective randomised study of drains in infra-peritoneal rectal anastomoses Tech Coloproctol 5 89 92.

    • Search Google Scholar
    • Export Citation
  • 37. DR Urbach ED Kennedy MM Cohen 1999 Colon and rectal anastomoses do not require routine drainage: a systematic review and meta-analysis Ann Surg 229 174 80.

    • Search Google Scholar
    • Export Citation
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  • DR. BÁLINT ANDRÁS
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  • DR. VEREBÉLY TIBOR
  • DR. VERECZKEI ANDRÁS

Petz Aladár County Teaching Hospital, Surgery
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Magyar Sebészet
Language Hungarian
Size B5
Year of
Foundation
1947
Volumes
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1
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per Year
4
Founder Magyar Sebész Társaság -- Hungarian Surgical Society
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ISSN 0025-0295 (Print)
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