Compression anastomosis (AKA-2) in colorectal surgery: results in 442 consecutive patients

Abstract

The low incidence of anastomotic complications demonstrates good biological healing of compression anastomoses. The compression anastomosis AKA-2 is safe in both high and low anterior resection and can therefore be recommended for use in colorectal surgery.

Compression method of anastomosis of large intestines by implants with memory of shape: alternative to traditional sutures

“…Самыми известными его разработками стали аппараты серии АКА (АКА-2, АКА-4, АКС). Применение этих аппаратов позволило в целом снизить долю несостоятельности толстоки-шечного анастомоза до 4,1-8,0 % по сравнению с ли-гатурными и механическими швами, а летальность -до 1,09-2,0 % [8,[29][30][31][32][33].…”

Efficacy of NiTi Hand CAC™ 30 for jejunojejunostomy in gastric cancer surgery: results from a multicenter prospective randomized trial

“…Findings from other clinical studies in which a compressive anastomotic device was used for lower gastrointestinal surgery showed advantages in terms of overall operation time, postoperative complications, and recovery of bowel function, as well as anastomotic time [16,22,23]. Jejunojejunostomy in total gastrectomy for the treatment of gastric cancer is basically a small part of the entire operation.…”

“…Following compression of the bowel lumen by the two rings, necrosis was induced, and a new lumen was created; this foreign metallic body was spontaneously discharged from the body along with the necrotic tissues several days later. After that, other compression devices, such as the AKA-2 (Seidel Medipool, Munich, Germany) and the biofragmentable anastomosis ring were developed [15,16]. A new compression anastomotic device, the NiTi Hand CAC TM 30, has recently been applied in anastomosis of the large intestine, and we decided to perform a clinical trial to determine its efficacy in anastomosis of the small intestine.…”

Compression anastomosis clip for gastrointestinal anastomosis

“…Compression anastomosis is very close to the sutureless anastomosis in the absence of permanent foreign bodies at the anastomotic site [2] . Although the technique of compression anastomosis was introduced more than 180 years ago and the theoretical advantages were appreciated, the technique has not been accepted as a standard for gastrointestinal anastomosis, which could be explained by its narrow inner caliber, difficult application and assemblage, and high cost [3,8] .…”

“…The idea is to compress two bowel walls together and induce a simultaneous necrosis and healing process leading to the joining of the two lumens. In 1892, Murphy introduced a mechanical device known as "Murphy's Button", which has been used for years [2][3][4] . Additional compression devices, such as magnetic ring, AKA-2 device, and biofragmentable anastomosis ring (BAR) were developed after almost 100 years [5][6][7] .…”