The effect of tissue compression on circular stapler line failure

2011 ◽  
Vol 25 (9) ◽  
pp. 3043-3049 ◽  
Author(s):  
Stephan R. Myers ◽  
William S. Rothermel ◽  
Lynn Shaffer
Keyword(s):  
Circular Stapler ◽  
Stapler Line ◽  
Tissue Compression

Circular Stapler Size and Risk of Anastomotic Complications in Gastroduodenostomy for Gastric Cancer

2012 ◽  
Vol 36 (8) ◽  
pp. 1796-1799 ◽  
Author(s):  
Dae Hoon Kim ◽  
Cheong Ah Oh ◽  
Seung Jong Oh ◽  
Min Gew Choi ◽  
Jae Hyung Noh ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Circular Stapler ◽  
Anastomotic Complications

scholarly journals New Device for the Introduction of a Circular Stapler in Laparoscopic Gastric Bypass Surgery

2006 ◽  
Vol 16 (12) ◽  
pp. 1559-1562 ◽  
Author(s):  
Markus Müller ◽  
Stefan Wildi ◽  
Pierre-Alain Clavien ◽  
Markus Weber
Keyword(s):  
Gastric Bypass ◽  
Laparoscopic Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Circular Stapler ◽  
New Device

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer

2018 ◽  
Vol 36 (3) ◽  
pp. 218-225 ◽  
Author(s):  
Wen-Ping Wang ◽  
Long-Qi Chen ◽  
Han-Lu Zhang ◽  
Yu-Shang Yang ◽  
Song-Lin He ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Circular Stapler ◽  
Purse String Suture ◽  
Robot Assisted ◽  
Purse String ◽  
Ivor Lewis ◽  
Intrathoracic Anastomosis ◽  
Ivor Lewis Esophagectomy ◽  
Estimated Blood Loss ◽  
Esophagectomy For Cancer

Background: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. Methods: “Side-insertion” technique was used for anvil placement and purse string suture for intrathoracic anastomosis at RAILE. Medical records for consecutive patients who had undergone robot-assisted minimally invasive Ivor-Lewis esophagectomy for cancer between January 2015 and June 2018 were analyzed. Results: A total of consecutive 31 patients were enrolled. There was no conversion to open thoracotomy in this cohort. Mean operation duration in the robotic group was 387.4 ± 68.2 min. Median estimated blood loss was 110 mL (range 50–400 mL). Two patients (6.5%) had postoperative anastomotic leak. No postoperative reoperation was needed and there were no mortality. Six patients (19.4%) had anastomotic stricture and 2 patients of them needed endoscopic dilation. Conclusion: RAILE is safe and feasible. Our modified procedure highlighting the “side-insertion” method may simplify the process of intrathoracic anvil placement and purse string suture for anastomosis at RAILE.

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