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

Hoon Hur, Hyung Ho Kim, Woo Jin Hyung, Gyu Seok Cho, Wook Kim, Seung Wan Ryo, Sang Uk Han

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Although a novel technique for the performance of intestinal sutureless anastomosis using a compression device has recently been investigated, it has not yet received widespread acceptance. We performed a multicenter prospective randomized trial in order to determine the clinical efficacy of the NiTi Hand CAC™ 30, a type of compression anastomosis clip (CAC), for jejunojejunostomy in gastric cancer surgery. Methods: Forty-seven patients from 6 institutions, who were diagnosed with gastric adenocarcinoma, were enrolled; these patients were randomized to a CAC group and a hand-sewn (control) group. Three patients dropped out for various reasons, and results for 44 patients were finally analyzed. The CAC group consisted of 20 patients, and there were 24 patients in the control group. Results: Anastomosis time, the primary endpoint of this trial, was shorter in the CAC group than in the control group (P < 0.001). However, total operation times (P = 0.055) did not differ. All reconstructions were completed by Roux-en-Y anastomosis, and the complication rates of the two groups did not differ (P = 0.908); however, jejunojejunostomy leakage occurred in two patients in the CAC group. Conclusions: Our prospective multicenter clinical trial showed that the use of the NiTi Hand CAC™ 30 for jejunojejunostomy in gastric cancer surgery was feasible and could reduce anastomosis time. However, considering that there were two cases of leakage, extended use of the NiTi Hand CAC™ 30 should be carefully applied.

Original languageEnglish
Pages (from-to)124-129
Number of pages6
JournalGastric Cancer
Volume14
Issue number2
DOIs
Publication statusPublished - 2011 Jun 1

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Surgical Instruments
Stomach Neoplasms
Hand
Control Groups
Roux-en-Y Anastomosis
Multicenter Studies
Stomach
Adenocarcinoma
Clinical Trials
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Oncology
  • Gastroenterology
  • Cancer Research

Cite this

Hur, Hoon ; Kim, Hyung Ho ; Hyung, Woo Jin ; Cho, Gyu Seok ; Kim, Wook ; Ryo, Seung Wan ; Han, Sang Uk. / Efficacy of NiTi Hand CAC™ 30 for jejunojejunostomy in gastric cancer surgery : Results from a multicenter prospective randomized trial. In: Gastric Cancer. 2011 ; Vol. 14, No. 2. pp. 124-129.
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Efficacy of NiTi Hand CAC™ 30 for jejunojejunostomy in gastric cancer surgery : Results from a multicenter prospective randomized trial. / Hur, Hoon; Kim, Hyung Ho; Hyung, Woo Jin; Cho, Gyu Seok; Kim, Wook; Ryo, Seung Wan; Han, Sang Uk.

In: Gastric Cancer, Vol. 14, No. 2, 01.06.2011, p. 124-129.

Research output: Contribution to journalArticle

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