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ECHELON CIRCULAR Powered Stapler
The ECHELON CIRCULAR Powered Stapler demonstrated an 85% reduction in anastomotic leaks compared with manual circular staplers (1.7% vs. 11.8%, p=0.02).1*
Complications in Colorectal Surgery Study
Complications in Colorectal Surgery: Risk Factors and Preventive Strategies – A Literature Review
Kirchhoff P, Clavien P-A, Hahnloser D. Patient Saf Surg. 2010 Mar 25;4(1):5.
The study aims to determine what the influenceable and non-influenceable risk factors are for colorectal surgery complications and how treatment strategies can be optimised to identify and minimise intra- and perioperative complications.
Standardisation of Surgical Procedures Study
Standardisation of Surgical Procedures to Reduce Risk of Anastomotic Leakage, Reoperation, and Surgical Site Infection in Colorectal Cancer Surgery: A Retrospective Cohort Study of 1,189 Patients
Eto K, Urashima M, Kosuge M, et al. Int J Colorectal Dis. 2018;33(6):755-762
The study aims to evaluate whether standardisation of colorectal surgery methods can reduce the risk of anastomotic leak, reoperation and surgical site infection (SSIs).
HARMONIC Ultrasonic Device Study
New Harmonic Scalpel Versus Conventional Haemostasis in Right Colon Surgery: A Prospective Randomised Controlled Clinical Trial
Sista F, Abruzzese V, Schietroma M, et al. Dig Surg. 2013;30(4–6):355–361
The study aims to evaluate the effectiveness and safety of the HARMONICTM ultrasonic device compared with conventional haemostasis in open right colon surgery.
CONTOUR Curved Cutter Stapler Study
Clinical Experience With The Use of The CONTOUR Curved Cutter Stapler in Colorectal Surgical Procedures: A Systematic Literature Review
Lim S, Clymer JW, Roy S. J Surg. 2018;1130.
The study aims to evaluate clinical experience with the CONTOUR Curved Cutter Stapler in open and laparoscopic colorectal procedures.
Influence of Multiple Stapler Firings Study
Influence of Multiple Stapler Firings Used For Rectal Division On Colorectal Anastomotic Leak Rate
A Retrospective Database Review
Braunschmid T, Hartig N, Baumann L, et al. Surg Endosc. 2017;31(12):5318-5326.
The study aims to determine whether multiple linear stapler firings during rectal division have an impact on anastomotic safety.
Clinical and Economic Value of Triclosan-coated Surgical Sutures Study
The Clinical and Economic Value of Triclosan-coated Surgical Sutures in Abdominal Surgery
Ceresoli M, Carissimi F, Piemontese A, et al. Appl Sci. 2020;10(3):1090.
The study aims to appraise the evidence for surgical site infection (SSI) reduction with triclosan-coated suture (TCS) vs non-coated suture (NCS) in abdominal surgery, and estimate the overall economic impact of TCS in these procedures.
The “Sphere of Care” Study
The “Sphere of Care”: A Qualitative Study of Colorectal Cancer Patient and Caregiver Experiences of Support Within the Cancer Treatment Setting
Law E, Levesque JV, Lambert S, Girgis A. PloS One. 2018;13(12):e0209436
The study aims to understand how social support for patients with colorectal cancer and their caregivers impacts their treatment experience and how support could be better facilitated within the treatment setting.
Timed Colorectal Cancer Diagnostic Pathway Study
Implementing a Timed Colorectal Cancer Diagnostic Pathway
A handbook for local health and care systems.
NHS England. 2018.
The study examines NHS England’s development of a 28-day diagnostic pathway for colorectal cancer aiming to expedite and standardise diagnosis across England.
Cost-effective Commissioning of Colorectal Cancer Care Study
Cost-effective Commissioning of Colorectal Cancer Care: An Assessment of the Cost-effectiveness of Improving Early Diagnosis
A National Guideline and Literature Review
Public Health England. 2016; 2016359.
The study aims to identify opportunities for improvement of the colorectal cancer (CRC) care pathway and determine how these can be implemented cost-effectively.
Circular Powered Stapler for Creation of Anastomosis Study
Assessment of a Circular Powered Stapler for Creation of Anastomosis in Left-sided Colorectal Surgery: A Prospective Cohort Study
Herzig DO, Ogilvie JW, Chudzinski A. Int J Surg. 2020;84:140–146.
The study aims to assess the intraoperative performance, safety, and ease of use of the ECHELON CIRCULAR Powered Stapler (ECP) for left-sided colon anastomoses.
Mechanical Staplers Compared to Hand-sewn Technique Study
An Assessment of the Clinical and Economic Impact of Establishing Ileocolic Anastomoses in Right-colon Resection Surgeries Using Mechanical Staplers Compared to Hand-sewn Technique
A Systematic Literature Review, Meta-analysis and Value Model Analysis
Roy S, Ghosh S, Yoo A. Surg Res Pract. 2015;2015:749186
The study aims to compare clinical outcomes and costs associated with mechanical stapling versus hand-sewn suturing in creation of ileocolic anastomoses after right-colon surgery.
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References
* Impact of the Novel Powered Circular Stapler on Risk of Anastomotic Leakage in Colorectal Anastomosis. A Propensity Score‐ Matched Study. [ECHELON CIRCULAR 1.7% (1/60) vs. manual circular 11.8% (14/119), p=0.022]
- Pla-Martí V, Martín-Arévalo J, Moro-Valdezate D, et al. Impact of the novel powered circular stapler on risk of anastomotic leakage in colorectal anastomosis: a propensity score-matched study. Tech Coloproctol. 2021;25(3):279-284.
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