[The AKA-2 sutureless compression anastomosis of the colon and rectum]

According to own experimental studies with anastomoses without any foreign material and based on the first clinical experience with the sutureless compression anastomoses (AKA-2) in colorectal surgery on 140 patients, this anastomotic technique was applied on further 147 patients following resections of the distal colon and rectum. Excluding the 24 patients with primary protective colostomy the leakage rate was 4.0% and out of the 45 patients with an anastomosis of 10 cm or less 2 patients developed fistulae (4.4%). 3 patients showed clinically inapparent fistulae by the routinely performed gastrographin enema. On endoscopy between 2nd and 3rd postoperative week no epithelial defects were found. Due to the biological advantages regarding morphological and functional criterias and a possible oncological advantage the sutureless compression anastomoses (AKA-2) can be recommended.