Which stapler charge is the most safe to perform ileocolic anastomoses?

Introduction Ileocolic anastomoses are made using a mechanical stapler or via hand-sewing, with many meta-analyses and reviews discussing their safety. This study compared two mechanical devices and charges, namely Echelon Flex with white charge (2.6 mm) versus EndoGIA with blue charge (3.5 mm), in...

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Autores principales:	Mauro Montuori, Enrico Pinotti, Luca Cigagna, Ludovica Pitoni, Riccardo Pirovano, Gianmaria Mauri, Michele Ciocca
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2021
Materias:	ileocolic anastomosis right hemicolectomy colon cancer stapler stapler charge Medicine R
Acceso en línea:	https://doaj.org/article/b820682c335b42c5af8d5c348e6c1b34
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spelling	oai:doaj.org-article:b820682c335b42c5af8d5c348e6c1b342021-11-14T06:50:55ZWhich stapler charge is the most safe to perform ileocolic anastomoses?2783-243010.30476/acrr.2021.92844.1116https://doaj.org/article/b820682c335b42c5af8d5c348e6c1b342021-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47863_e012f190ff2e2bcc68f4f769f9e533c0.pdfhttps://doaj.org/toc/2783-2430Introduction Ileocolic anastomoses are made using a mechanical stapler or via hand-sewing, with many meta-analyses and reviews discussing their safety. This study compared two mechanical devices and charges, namely Echelon Flex with white charge (2.6 mm) versus EndoGIA with blue charge (3.5 mm), in isoperistaltic side-to-side ileocolic anastomosis after right hemicolectomy for cancer with similar surgical technique and postoperative management. Methods We made a retrospective analysis of all right hemicolectomies for malignancies performed between 1 January 2014 and 31 December 2019 in our department, comparing the mechanical device and the stapler charge used for the ileocolic isoperistaltic anastomosis. Results A total of 151 patients underwent right hemicolectomy for cancer. In 101 cases, the device used to perform ileocolic side-to-side isoperistaltic anastomosis was Echelon Flex with white charge (2.6 mm). In 50, the device used was EndoGIA with blue charge (3.5 mm). There were no significant differences in the baseline characteristics or complication rate (P=0.727). In particular, no differences were found in the rate of anastomotic leakage (P=0.851) or anastomotic bleeding (P=0.218). The median length of stay was ten and seven for the white and blue groups, respectively (P=0.112). Conclusion In our experience, mechanical ileocolic anastomosis is safe, and the two indicated staplers with the described charges do not differ in terms of anastomotic leak or bleeding. We hope that this study will motivate further investigations in this field.Mauro MontuoriEnrico PinottiLuca CigagnaLudovica PitoniRiccardo PirovanoGianmaria MauriMichele CioccaShiraz University of Medical Sciencesarticleileocolic anastomosisright hemicolectomycolon cancerstaplerstapler chargeMedicineRENIranian Journal of Colorectal Research, Vol 9, Iss 3, Pp 98-102 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ileocolic anastomosis right hemicolectomy colon cancer stapler stapler charge Medicine R
spellingShingle	ileocolic anastomosis right hemicolectomy colon cancer stapler stapler charge Medicine R Mauro Montuori Enrico Pinotti Luca Cigagna Ludovica Pitoni Riccardo Pirovano Gianmaria Mauri Michele Ciocca Which stapler charge is the most safe to perform ileocolic anastomoses?
description	Introduction Ileocolic anastomoses are made using a mechanical stapler or via hand-sewing, with many meta-analyses and reviews discussing their safety. This study compared two mechanical devices and charges, namely Echelon Flex with white charge (2.6 mm) versus EndoGIA with blue charge (3.5 mm), in isoperistaltic side-to-side ileocolic anastomosis after right hemicolectomy for cancer with similar surgical technique and postoperative management. Methods We made a retrospective analysis of all right hemicolectomies for malignancies performed between 1 January 2014 and 31 December 2019 in our department, comparing the mechanical device and the stapler charge used for the ileocolic isoperistaltic anastomosis. Results A total of 151 patients underwent right hemicolectomy for cancer. In 101 cases, the device used to perform ileocolic side-to-side isoperistaltic anastomosis was Echelon Flex with white charge (2.6 mm). In 50, the device used was EndoGIA with blue charge (3.5 mm). There were no significant differences in the baseline characteristics or complication rate (P=0.727). In particular, no differences were found in the rate of anastomotic leakage (P=0.851) or anastomotic bleeding (P=0.218). The median length of stay was ten and seven for the white and blue groups, respectively (P=0.112). Conclusion In our experience, mechanical ileocolic anastomosis is safe, and the two indicated staplers with the described charges do not differ in terms of anastomotic leak or bleeding. We hope that this study will motivate further investigations in this field.
format	article
author	Mauro Montuori Enrico Pinotti Luca Cigagna Ludovica Pitoni Riccardo Pirovano Gianmaria Mauri Michele Ciocca
author_facet	Mauro Montuori Enrico Pinotti Luca Cigagna Ludovica Pitoni Riccardo Pirovano Gianmaria Mauri Michele Ciocca
author_sort	Mauro Montuori
title	Which stapler charge is the most safe to perform ileocolic anastomoses?
title_short	Which stapler charge is the most safe to perform ileocolic anastomoses?
title_full	Which stapler charge is the most safe to perform ileocolic anastomoses?
title_fullStr	Which stapler charge is the most safe to perform ileocolic anastomoses?
title_full_unstemmed	Which stapler charge is the most safe to perform ileocolic anastomoses?
title_sort	which stapler charge is the most safe to perform ileocolic anastomoses?
publisher	Shiraz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/b820682c335b42c5af8d5c348e6c1b34
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Which stapler charge is the most safe to perform ileocolic anastomoses?

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