Experience in the use of the AKA-2 device in the formation of esophago-intestinal anastomosis
Patiutko, I.I.; Pedchenko, V.V.; Lagoshnyĭ, A.T.; Efimov, O.N.
Klinicheskaia Khirurgiia 5: 31-35
1991
ISSN/ISBN: 0023-2130 PMID: 1875616 Document Number: 378873
Two techniques of the compressive anastomosis formation were used. At the early postoperative period, there were no complications. Three months after the operation, 4 patients were examined. In 1, the cicatricial anastomotic stenosis, caused by the errors in technique of the anastomosis creation, was revealed. In the remaining 3 patients, there were no impairment in healing of an anastomosis. In 9 patients, in formation of an anastomosis, all the layers of the intestinal wall and only mucous membrane of the esophagus were stitched. No impairment in anastomotic healing was noted. Of the 16 patients operated on with the use of the AKA-2 apparatus (in all the cases, the compressing rings with a small diameter--20 mm were used), 1 died at day 4 after the operation from ischemic insult of the brain.