| Objective:To study the efficacy and safety of biofragmentable anastomosis ring(BAR) in the intestinal reconstruction after surgery of the digestive tract in Chinese patients.Methods: A retrospective analysis was conducted on the type of surgery and postoperative complications with BAR in the Second Affiliated Hospital of Soochow University from January 1, 2014 to March 31, 2015. The clinical data of sigmoid carcinoma patients who were anastomosized with BAR or conventional staplers during the same period were collected regarding to the recovery courses and postoperative complications.Results: 1.BAR was used in 61 cases, among whom, 32 cases had sigmoid colon cancer, 12 cases received closure of stoma, 4 cases received right semicolectomy, 5 cases had transverse colon cancer, 4 cases received left semicolectomy,2 cases received surgery of the small intestine and the other two patients underwent emergency surgery. Postoperative intestinal obstruction occurred in 2 cases, anastomotic leakage in 3 cases, and incision infection in 1 case. 2.A total of 77 cases underwent curative surgery due to sigmoid colon cancer,of whom, 32 cases were classified into the BAR group and 45 cases into traditional stapler anastomosis group. In the two groups, the ratio of anastomotic bleeding was 0:6(P = 0.004), and the ratio of anal discomfort was 1:32(P = 0).There was significant statistical difference. The ratios of anastomotic stenosis, anastomotic leakage, intestinal obstruction, mortality and incisional infection had no significant difference.Conclusion: Compared to conventional staplers, BAR have some advantages in reducing postoperative anastomotic bleeding, anal discomfort and medical costs. No significant differences were observed as to postoperative intestinal obstruction, anastomotic leakage and postoperative incision infection between BAR anatomosis and conventional stpler anastomosis. Slightly delayed defecation may be related to the application of BAR. |
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