title: Intestinal Anastomosis by Use of a Memory-shaped Compression Anastomosis Clip (Hand CAC 30): Early Clinical Experience.
abstract: OBJECTIVE
  The safety and the efficacy of the compression anastomosis clip (Hand CAC 30) have been demonstrated by animal studies. This study was designed to evaluate the clinical validity of the Hand CAC 30 in enterocolic side-to-side anastomosis after colonic or enteric resections.
  
  
  METHODS
  A non-randomized prospective data collection was performed for patients undergoing a side-to-side anastomosis using the Hand CAC 30. Eligibility criteria for the use of the Hand CAC 30 were for anastomoses between the colon and the ileum or between two small bowels. The primary short-term endpoint was the rate of anastomotic leakage. Other clinical outcomes, including intra- and postoperative complications, length of operation time and hospital stay, and the clip elimination time were recorded.
  
  
  RESULTS
  A total of 63 patients (male, 36) underwent an enteric or right-sided colonic resection followed by a side-to-side anastomosis using the Hand CAC 30. Laparoscopic surgery was performed in 36 patients, in whom one patient who underwent a laparoscopic right hemicolectomy was converted to an open procedure (1/32, 3.1%). One patient with ascending colon cancer showed postoperative anastomotic leakage and died of co-morbid ischemic heart disease. There were no other surgical mortalities. The exact date of expulsion of the clip could not be recorded because most patients were not aware of clip elimination. No patients manifested clinical symptoms of anastomotic stricture.
  
  
  CONCLUSIONS
  Short-term evaluation of the Hand CAC 30 anastomosis in patients undergoing enterocolic surgery proved it to be a safe and efficacious alternative to the standard hand-sewn or stapling technique.
authors.affiliation: Department of Surgery, Dong-A University Medical Center, Busan, Korea.
authors.forename: Hak-Youn
authors.initials: HY
authors.lastname: Lee
authors.forename: Jin-Hee
authors.initials: JH
authors.lastname: Woo
authors.forename: Si-Young
authors.initials: SY
authors.lastname: Park
authors.forename: Nam-Wook
authors.initials: NW
authors.lastname: Kang
authors.forename: Ki-Jae
authors.initials: KJ
authors.lastname: Park
authors.forename: Hong-Jo
authors.initials: HJ
authors.lastname: Choi