The use of a compression device as an alternative to hand-sewn and stapled colorectal anastomoses: is three a crowd?
BACKGROUND
The NiTi CAR™ 27 is a newer device that uses compression to create an anastomosis. An analysis of this device in the creation of colorectal anastomoses in humans has yet to be reported in the USA.


METHODS
A non-randomized, prospective pilot study of the NiTi CAR™ 27 device in patients undergoing a left-sided colectomy between March 2008 and August 2009 was performed.


RESULTS
Twenty-three patients (9 men and 14 women) underwent a left-sided colectomy and compression anastomosis with the CAR™ 27 device. Minor morbidities, 3 of 23 (13%) patients, included one small postoperative abscess requiring antibiotics alone and two postoperative anastomotic strictures requiring balloon dilation. Major morbidities, 1 of 23 (4%) patients, included a partial anastomotic dehiscence/leak requiring surgical dismantling of the anastomosis and diversion.


CONCLUSIONS
The CAR™ 27 device shows promise as a safe and effective alternative for the creation of colorectal anastomoses. However, studies in a larger patient population are warranted to demonstrate equivalence of this device.
Department of Surgery, University of California-Irvine Medical Center, 333 City Blvd. West, Suite 700, Orange, CA 92868, USA.
Brian S
BS
Buchberg
Hossein
H
Masoomi
Herlinda
H
Bergman
Steven D
SD
Mills
Michael J
MJ
Stamos
D000328:Adult; D000368:Aged; D000497:Alloys; D000714:Anastomosis, Surgical / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D057868:Anastomotic Leak / Q000209:etiology*; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D012007:Rectum / Q000601:surgery*
D000497:Alloys; C013616:nitinol