Bringt die dritte Klammernahtreihe eines neuen Endostaplers einen medizinischen Vorteil?

Abstract

The application of the advanced Echelon endostapler has no impact on the number of anastomotic leaks, and reduces the number of anastomotic bleedings slightly but not significantly. The increased number of endoscopic procedures in the second period results both from the growing number of indications for the application of endoscopic techniques and the positive findings of recent studies carried out by our own and other working groups.

A novel narrow profile articulating powered vascular stapler provides superior access and haemostasis equivalent to conventional devices

“…A comparison between a four-row stapler (Endopath TSB45) and a six-row stapler (Echelon 60) showed no significant difference in anastomotic bleeding rates, although haemostasis trended better for the six-row stapler ( P = 0.074) [ 10 ]. This was not a pure comparison of differing number of rows, however, because there were also other differences in the design of the two staplers.…”