Compression anastomosis ring device in colorectal anastomosis: a review of 1,180 patients

COMPRES: a prospective postmarketing evaluation of the compression anastomosis ring CAR 27™/ColonRing™

“…The ColonRing TM device combines the old concept of compression anastomosis with the use of a superelastic alloy (nitinol nickel titanium, NiTi) which was intended to overcome the limitations of the earlier compression devices. The results of this study are consistent with the 1.9% leak rate noted by Massomi et al [12] in a series of 1180 patients who underwent compression anastomosis, including 362 patients having low anterior resection. Another explanation might be that the springs within the nitinol ring compensate better for the thickness of the rectal well than do staples.…”

Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks

“…When comparing use of sutured versus stapled anastomoses it is imperative to compare similar anatomical locations owing to differences in blood supply, luminal diameter and type of reconstruction. Newer techniques such as metallic compression ring anastomoses have been developed, which have proven to be effective in feasibility studies with comparable AL rates, but more evidence is required.…”

Anastomosis colorrectales por compresión utilizando el dispositivo NiTi

“…Actualmente ya existe evidencia de su utilización en pacientes con etiología oncológica gastrointestinal, como reportan Kim et al 14 , quienes tras evaluar a 50 pacientes no observaron diferencias significativas en el tiempo quirúrgico, pérdida sanguínea transoperatoria, tiempo de inicio de la canalización de gases, primera evacuación y complicaciones; así, el CAR TM 27 fue aprobado por la Food and Drug Administration (FDA) para el uso en anastomosis intestinales en agosto de 2006. En 2013 Masoomi et al 15 realizaron un estudio en Estados Unidos, en Alemania y en otros países que incluía un total de 1,180 pacientes, a los cuales se les realizaron anastomosis colorrectales, con una tasa de riesgo de fuga del 3.22%.…”