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stapler anastomosis of bowel

Kishiko Ikehara, Shungo Endo, Kensuke Kumamoto, Eiji Hidaka, Fumio Ishida, Jun-Ichi Tanaka, Shin-Ei Kudo
BACKGROUND: The aim of this study was to investigate exfoliated cancer cells (ECCs) on linear stapler cartridges used for anastomotic sites in colon cancer. METHODS: We prospectively analyzed ECCs on linear stapler cartridges used for anastomosis in 100 colon cancer patients who underwent colectomy. Having completed the functional end-to-end anastomosis, the linear stapler cartridges were irrigated with saline, which was collected for cytological examination and cytological diagnoses were made by board-certified pathologists based on Papanicolaou staining...
2016: World Journal of Surgical Oncology
Ian C Glenn, Nicholas E Bruns, Todd A Ponsky
PURPOSE: While adult bowel anastomoses are typically performed with staplers, neonatal small bowel anastomoses have traditionally been performed in a hand-sewn manner due to the large size of surgical staplers. The purpose of this study was to compare stapled anastomosis using a newly available, 5-mm laparoscopic stapler to a hand-sewn anastomosis in an open animal model. METHODS: Twenty anastomoses were performed by two general surgery residents (10 stapled and 10 hand-sewn) in an adult New Zealand white rabbit...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Nobuhisa Matsuhashi, Kazuya Yamaguchi, Naoki Okumura, Toshiyuki Tanahashi, Satoshi Matsui, Hisashi Imai, Yoshihiro Tanaka, Takao Takahashi, Shinji Osada, Kazuhiro Yoshida
BACKGROUND: The indications for laparoscopic gastrectomy for early stomach cancer have spread worldwide, and the short-term outcomes have been favorable. Intraabdominal delta-shaped gastroduodenostomy using endoscopic linear staplers, a technique which was developed by Kanaya et al. is one of the feasible reconstructive procedures. Pure laparoscopic surgery is reported to be associated with several intraoperative and postoperative advantages in comparison with laparoscopy-assisted surgery...
July 21, 2016: Surgical Endoscopy
Marco Milone, Francesco Milone
BACKGROUND: We have designed a modified caudal-to-cranial approach to perform laparoscopic left colectomy preserving the inferior mesenteric artery for benign colorectal diseases. METHODS: IRB approval and informed consent have been obtained. A dissection is conducted to separate the descending mesocolon of the Gerota's plan from the medial aspect to the peritoneal lining to the left parietal gutter. The peritoneal layer is incised parallel to the vessel and close to the colonic wall...
July 21, 2016: Surgical Endoscopy
Svetozar Antovic, Aleksandar Mitevski, Aleksandar Karagozov, Biljana Kuzmanovska, Nikola Jankulovski
AIM: Clinical evaluation of the safety and effectiveness of compression anastomosis with ColonRing™ for large-bowel end-to-end anastomosis for rectal cancer and explanation of the procedure and the device itself since this device is used for the first time in our clinic. MATERIAL AND METHODS: In November, 2012, a team of surgeons from our clinic attended the Clinical practice workshop in Belgrade, Serbia which was organized by the World Congress of Compression Anastomosis (WCCA) and held by its President Prof...
2016: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
Andrew P Rogers, Tiffany J Zens, Jonathan E Kohler, Hau D Le, Peter F Nichol, Charles M Leys
BACKGROUND: Operating in small spaces presents physical constraints that can be even more challenging in minimally invasive operations. Recently, a 5-mm stapler was approved for use in general surgery and pediatric surgery. Here, we present our initial experience using the 5-mm stapler in pediatric general surgery. MATERIALS AND METHODS: A retrospective chart review was conducted to identify cases using the 5-mm stapler at our institution. Demographic data included age (in months) and weight (in kilograms)...
August 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Zoltan H Nemeth, Eric L Lazar, Samantha R Paglinco, Addison S Hicks, Jason Lei, Patricia A Barratt-Stopper, Rolando H Rolandelli
BACKGROUND: With the introduction of stapling devices (SDs), the proportion of hand-sewn (HS) intestinal anastomoses (IAs) has declined. As more IAs are constructed with SDs, there are fewer opportunities for general surgery residents (GSRs) to acquire the skills for HS techniques during their training. STUDY DESIGN: Data for this study were extracted from an existing database of all IAs performed at the Department of Surgery of the Morristown Medical Center since 2003...
September 2016: Journal of Surgical Education
Andrea Resegotti, Stefano Silvestri, Marco Astegiano, Giacomo Deiro, Davide Ribaldone, Davide Cassine, Alessandro Franchello
AIM: With the idea that a small diameter stapler should cause less sphincter trauma, we began to use the 25mm circular stapler to perform ileo-pouch-anal anastomosis (IPAA) and we report our experience. MATERIAL OF STUDY: A retrospective study using a bowel function questionnaire and a quality of life questionnaire has been conducted on a group of patients who underwent IPAA using a 25mm stapler RESULTS: We performed IPAA using a 25mm circular stapler in 37 patients...
2016: Annali Italiani di Chirurgia
Masahiro Kimura, Yukio Terashita
BACKGROUND: Few studies have been designed regarding optimal reinforcement of the crotch of a side-to-side anastomosis. The purpose of this study was to clarify the weak point of the side-to-side anastomosis and to evaluate the effect of bioabsorbable reinforcement material. METHODS: Fresh pig small bowel was used for all experiments. A side-to-side anastomosis was performed using a linear stapler, and the burst pressure of the anastomosis was measured. Three separate experiments were done...
March 2016: Annals of Medicine and Surgery
Toshimitsu Araki, Yoshiki Okita, Mikio Kawamura, Satoru Kondo, Minako Kobayashi, Masaki Ohi, Yuji Toiyama, Koji Tanaka, Yasuhiro Inoue, Keiichi Uchida, Yasuhiko Mohri, Masato Kusunoki
Afferent limb obstruction can be a persistent complication after restorative proctocolectomy with ileal pouch-anal anastomosis. We present a case of afferent limb obstruction complicated by a long efferent limb of the ileal pouch that we successfully treated with side-to-side anastomosis of the afferent and efferent limbs. The procedure involved using a transanal endoscopic stapling device assisted by transanal endoscopy with a thin intestinal video endoscope. This allowed reliable, safe visualization of the lesion from the tight pouch-anal anastomosis and facilitated repair with an endoscopic stapling device...
May 2016: Asian Journal of Endoscopic Surgery
Anton Kvasha, Muhammad Khalifa, Seema Biswas, Mohamad Hamoud, Dmitri Nordkin, Zakhar Bramnik, Udi Willenz, Moaad Farraj, Igor Waksman
Transanal, hybrid natural orifice translumenal endoscopic surgery (NOTES) and NOTES-assisted natural orifice specimen extraction techniques hold promise as leaders in the field of natural orifice surgery. We report the feasibility of a novel NOTES assisted technique for unlimited length, clean, endolumenal proctocolectomy in a porcine model. This technique is a modification of a transanal intussusception and pull-through procedure recently published by our group. Rectal mobilization was achieved laparoscopically; this was followed by a transanal recto-rectal intussusception and pull-through (IPT)...
October 2016: Surgical Innovation
Tobias Gehrig, A T Billeter, A L Wekerle, M Shevchenko, K Brand, B P Müller-Stich
BACKGROUND: The purpose of the present study is to assess the value of the LigaSure™ Vessel Sealing System (LVSS) as a means for bowel transection and intestinal anastomosis. METHODS: We compared the LVSS for (1) transecting bowel and (2) creation of an intestinal anastomosis with standard methods such as stapler (S) and hand-sewn (HS) in a porcine model. For each study arm, i.e., bowel transection and anastomosis creation, both the small bowel and colon were examined...
May 2016: Langenbeck's Archives of Surgery
Masahiro Kimura, Hiroki Takahashi, Tatsuya Tanaka, Hiroyuki Sagawa, Hiromitsu Takeyama
BACKGROUND/AIMS: In recent years, the side-to-side intestinal anastomosis has become a widely used technique. The purpose of this study was to evaluate the difference in the burst pressures and weak points using three different kinds of suture instruments. METHODOLOGY: Fresh pig esophagus and small bowel were used for all experiments. A side-to-side anastomosis was performed using three linear staplers, and the burst pressure was measured. Stapling devices used were the GIATM60-3...
June 2015: Hepato-gastroenterology
Péter Lukovich, Noémi Csibi, Attila Bokor
INTRODUCTION: During laparoscopic partial colectomy the specimen can be extracted transrectally. This technique decreases the invasiveness of the surgery, because the abdominal wall incision is avoided. Premises of a new surgical technique are precise technical description as well as a favourable balance of advantages and disadvantages. In this paper the authors review the technique they apply and analyse their first results. PATIENTS AND METHOD: 45 laparoscopic bowel resections were performed by a multidisciplinary team between 16th April 2014 and 1st November 2015...
March 2016: Magyar Sebészet
Changhua Zhuo, Lei Liang, Mingang Ying, Qingguo Li, Dawei Li, Yiwei Li, Junjie Peng, Liyong Huang, Sanjun Cai, Xinxiang Li
The transanal eversion and prolapsing technique is a well-established procedure, and can ensure an adequate distal margin for patients with low rectal neoplasms. Potential leakage risks, however, are associated with bilateral dog ear formation, which results from traditional double-stapling anastomosis. The authors determined the feasibility of combining these techniques with a commercial stapling set to achieve a nondog ear (end-to-end) anastomosis for patients with mid- and distal rectal neoplasms. Patients with early-stage (c/ycT1-2N0), mid- to distal rectal neoplasms and good anal sphincter function were included in this study...
December 2015: Medicine (Baltimore)
Masahiro Kimura, Hiroki Takahashi, Tatsuya Tanaka, Hiroyuki Sagawa, Hiromitsu Takeyama
BACKGROUND: Few studies have been conducted regarding the optimal staple direction in gastrointestinal anastomosis. The purpose of this study was to evaluate the burst pressure of the anastomosis depending on the firing direction of the stapler. METHODS: Pig esophagus and small bowel were used for all experiments. The small intestine represented a thin intestinal tract and the esophagus represented a thick intestinal tract. A side-to-side anastomosis was performed using a linear stapler, and the burst pressure was measured...
2015: Digestive Surgery
Cuneyt Kayaalp, Koray Kutluturk, Mehmet Ali Yagci, Mustafa Ates
AIM: To study the transcolonic extraction of the proximally resected colonic specimens by colonoscopic assistance at laparoscopic colonic surgery. METHODS: The diagnoses of our patients were Crohn's disease, carcinoid of appendix and adenocarcinoma of cecum. We preferred laparoscopic total mesocolic resections. Colon and terminal ileum were divided with endoscopic staplers. A colonoscope was placed per anal and moved proximally in the colon till to reach the colonic closed end under the laparoscopic guidance...
September 10, 2015: World Journal of Gastrointestinal Endoscopy
Katie W Russell, Brigid P O'Holleran, Megan E Bowen, Mary C Mone, Courtney L Scaife
INTRODUCTION: The Barcelona technique for bowel anastomosis is not well described in the currently available literature, but it saves steps when compared to conventional stapled anastomoses. In short, the proximal and distal ends of a resection margin are approximated, small enterotomies made, a stapler is passed into both lumens creating a common channel, and lastly, this same stapler is used to create the anastomosis and amputate the specimen. We report on this technique with ileostomy reversal in terms of cost and complications...
December 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Shiyong Li, Gang Chen, Junfeng Du, Guang Chen, Xiaojun Wei, Wei Cui, Qiang Yuan, Liang Sun, Xue Bai, Fuyi Zuo, Bo Yu, Xing Dong, Xiqing Ji
OBJECTIVE: To assess the safety, feasibility and clinical outcome of laparoscopic radical resection for low rectal cancer with telescopic anastomosis or with colostomy by stapler through transanal resection without abdominal incisions. METHODS: From January 2010 to September 2014, 37 patients underwent laparoscopic radical resection for low rectal cancer through transanal resection without abdominal incisions. The tumors were 4-7 cm above the anal verge. On preoperative assessment, 26 cases were T1N0M0 and 11 were T2N0M0...
June 2015: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Hidetoshi Katsuno, Koutarou Maeda, Tsunekazu Hanai, Koji Masumori, Yoshikazu Koide, Toru Kono
INTRODUCTION: Anastomotic surgical recurrence after bowel resection is a major problem in patients with Crohn's disease. The aim of this prospective observational study was to evaluate the efficacy of a novel technique for restoring bowel continuity after resection involving either the small or the large intestine. METHODS: The first case was instructed by Dr. Kono at Fujita Health University. The involved bowel segment was divided transversely with a linear stapler...
2015: Digestive Surgery
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