Risk of anastomotic leakage with two-row versus three-row manual circular staplers in colorectal anastomosis: a US cohort study

被引：5
作者：
Wang, Tongtong [1 ]
Sadowsky, Mordechai [2 ]
Blakney, Rebekah [1 ]
Coplan, Paul [1 ]
Petraiuolo, William [2 ]
Soberman, Mark [2 ]
Tomaszewski, Joerg [3 ]
Rene, Lexi [1 ]
Wood, Jennifer [1 ]
机构：
[1] Johnson & Johnson, Epidemiol & Real World Data Sci, MedTech, New Brunswick, NJ 08933 USA
[2] Johnson & Johnson, Med Safety, MedTech, New Brunswick, NJ USA
[3] Johnson & Johnson, Med Affairs, MedTech, Raritan, NJ USA
来源：
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 2023年 / 38卷 / 01期
关键词：
Anastomotic leak; Manual circular staplers; Left-sided colorectal surgery; Retrospective cohort study; Premier Healthcare Database (PHD); ANTERIOR RESECTION; RECTAL-CANCER; SURGERY; MORBIDITY; MORTALITY; DESIGN;
D O I：
10.1007/s00384-023-04552-0
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
PurposesTo compare the risk of anastomotic leak (AL) between Ethicon manual circular staplers (two-row) versus Medtronic EEA (TM) circular stapler with Tri-Staple (TM) technology (three-row) and between Medtronic EEA (TM) circular stapler with DST (TM) Series technology (two-row) versus Tri-Staple (TM) technology.MethodsA retrospective cohort study was conducted in adult patients who underwent a left-sided colorectal surgery 2019-2022 in U.S. Premier Healthcare Database to assess the risk of AL within 30 days post-index procedure. The study devices were Ethicon manual circular staplers, Medtronic EEA (TM) circular stapler with DST (TM) technology, and Medtronic EEA (TM) circular stapler with Tri-Staple (TM) technology.ResultsAcross 447 hospitals, the cumulative incidences (95% confidence intervals [CI]) of AL within 30 days post-index procedure were 7.78% (6.91-8.74%) among 8337 patients in the Ethicon manual circular stapler cohort, 7.54% (6.87-8.27%) among 7928 patients in the Medtronic EEA (TM) circular stapler with DST (TM) technology cohort, and 8.19% (6.57-10.07%) among 1306 patients in the Medtronic EEA (TM) circular stapler with Tri-Staple (TM) technology cohort. Comparative analyses revealed no difference comparing Ethicon manual circular staplers with Medtronic EEA (TM) circular staplers with Tri-Staple (TM) technology (risk ratio [RR], 0.72; 95% CI, 0.52-1.01) or comparing Medtronic EEA (TM) circular staplers with DST (TM) technology to Tri-Staple (TM) technology (RR, 0.75; 95% CI, 0.53-1.06).ConclusionIn this analysis of a large cohort of patients undergoing a left-sided colorectal surgery from a U.S. hospital database, the risk of AL observed with manual two-row circular staplers was similar to that seen with three-row devices. This study affirms the safety of manual two-row circular staplers in colorectal anastomosis.
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页数：16
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