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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2020, Vol. 09 ›› Issue (06): 581-585. doi: 10.3877/cma.j.issn.2095-3224.2020.06.008

Special Issue:

• Original Article • Previous Articles     Next Articles

Anastomotic stent reduces the incidence of postoperative colonic anastomotic leakage: a study in rats

Ran Jing1, Yang Luo1, Jun Qin1, Hongmei Kang2, Yizhou Huang1, Minhao Yu1, Ming Zhong1,()   

  1. 1. Department of Gastrointestinal Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
    2. School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
  • Received:2020-03-15 Online:2020-12-25 Published:2020-12-25
  • Contact: Ming Zhong
  • About author:
    Corresponding author: Zhong Ming, Email:

Abstract:

Objective

To explore the value of anastomotic stent in reducing postoperative colonic anastomotic leakage by a comparison of the effect of anastomotic stent and manual interrupted suture on anastomotic leakage morbidity after colon surgery in rats.

Methods

Thirty-two male SD rats were randomly divided into two groups, sixteen in each group (the experimental group: anastomosed by anastomotic stent; the control group: anastomosed by manual interrupted suture), then underwent end-to-end colonic anastomosis, comparing the differences in degree of abdominal adhesion, anastomotic leakage, and overall survival between two groups.

Results

Compared with control group, the score of abdominal adhesion in the experimental group was lower (5.94±1.69 vs. 9.19±2.52, t=4.181; P=0.008), the morbidity of anastomotic leakage in the experimental group was lower (12.5% vs. 56.25%, χ2=6.788; P=0.023), the overall survival rate of the experimental group was higher (87.5% vs. 43.75%, χ2=5.850; P=0.016).

Conclusion

Anastomotic stent has potential clinical applicability in decreasing the morbidity of anastomotic leakage through reducing abdominal adhesion.

Key words: Colon, Anastomotic stent, Manual interrupted suture, Anastomotic leakage, Abdominal adhesion

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