A Stapling Instrument for End-to-end Inverting Anastomoses in the Gastrointestinal Tract

Ravitch, Mark M.; Steichen, Felicien M.

doi:10.1097/00000658-197906000-00017

Cited by 158 publications

(56 citation statements)

References 4 publications

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“…26 The use of rectosigmoid colon resection in the surgical management of patients with advanced ovarian carcinoma with bulky pelvic disease is rational, because the distal sigmoid frequently is involved by direct extension or serosal implantation from epithelial ovarian carcinoma. [15][16][17][18][19][20][21][22][23][24][25][26][27] The introduction of the end-to-end circular stapling device in 1960 28 greatly facilitated the performance of low rectal resection and anastomosis for a variety of general surgical and gynecologic malignancies. In the current study, cytoreductive surgery with rectosigmoid colon resection was possible for all patients with acceptable perioperative and postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Primary cytoreductive surgery with rectosigmoid colon resection for patients with advanced epithelial ovarian carcinoma

Scarabelli

Gallo

Franceschi

et al. 2000

Cancer

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Section: Discussionmentioning

confidence: 99%

Primary cytoreductive surgery with rectosigmoid colon resection for patients with advanced epithelial ovarian carcinoma

Scarabelli

Gallo

Franceschi

et al. 2000

Cancer

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“…Staple with a circular stapler (CS) is regarded as a safe alternative to manual suturing in colonic, rectal [4], and gastric anastomosis [5], as well as esophagogastric anastomosis [6]. With the development of surgical techniques, many advances have been applied to the surgery of esophageal cancer in the past decade [7,8]. Although lower rate of mortality has always been reported [9][10][11], the postoperative complications are proven to be frequently common, which included anastomotic leakage and stricture.…”

Section: Introductionmentioning

confidence: 99%

Hand-Sewn Versus Stapled Esophagogastric Anastomosis in the Neck: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Wang

Shi

et al. 2013

Indian J Surg

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The application of cervical esophagogastric anastomoses was of great concern. However, between circular stapler (CS) and hand-sewn (HS) methods with anastomosis in the neck, which one has better postoperative effects still puzzles surgeons. This study aims to systematically evaluate the effectiveness, security, practicality, and applicability of CS compared with the HS method for the esophagogastric anastomosis after esophageal resection. A systematic literature search, as well as other additional resources, was performed which was completed in January 2013. The relevant randomized controlled trials (RCTs) about the surgical technique for esophageal resection were included. Trial data was reviewed and extracted independently by two reviewers. The quality of the included studies was assessed by the recommended standards basing on Cochrane handbook 5.1.0, and the data was analyzed via RevMan 5 software (version 5.2.0). Nine studies with 870 patients were included. The results showed that in comparing HS to CS methods with cervical anastomosis, no significant differences were found in the risk of developing anastomotic leakages (relative risk (RR)=1.30, 95 % confidence intervals (CI) 0.87-1.92, p =0.20), as well as the anastomosis stricture (RR=0.97, 95 % CI 0.47-1.99, p =0.93), postoperative mortality (RR = 0.83, 95 % CI 0.43-1.58, p =0.57), blood loss (mean difference (MD)=39.68; 95 % CI −6.97, 86.33; p =0.10) and operative time (MD=18.05; 95 % CI −3.22, 39.33; p =0.10). However, the results also illustrated that the CS methods with cervical anastomosis might be less time-consuming and have shorter hospital stay and higher costs. Based upon this meta-analysis, there were no differences in the postoperative outcomes between HS and CS techniques. And the ideal technique of cervical esophagogastric anastomosis following esophagectomy remains under controversy.

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“…Com o advento da sutura mecânica, divulgada a partir da década de 60, tornou-se possível desenvolver nos dias atuais aparelhos de sutura mecânica com maior segurança, precisão e de rápido emprego, tentando assim reduzir o risco da deiscên-cia da anastomose, além de simplificar a sua realização 10,21,27 . O declínio das complicações com a anastomose mecânica, ocorre devido ser esta anastomose em 2 planos, invertida, reduzindo a isquemia e necrose tecidual 5,11 .…”

Section: Introductionunclassified

Tubo gástrico isoperistáltico de grande curvatura gástrica com sutura mecânica no tratamento cirúrgico do câncer de esôfago irressecável

Aquino¹,

Said²,

Brandi³

et al. 2009

ABCD, arq. bras. cir. dig.

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INTRODUÇÃOA neoplasia de esôfago é doença muito comum em regiões com populações de baixa renda e naquelas habituadas à ingestão de álcool e abuso de tabaco 15,19 . Quase sempre o diagnóstico dessa afecção é tardio, pois a disfagia -principal sintoma da neoplasia de esôfago -, ocorre somente quando mais de 2/3 da luz esofágica esta preenchida por lesão tumoral. O diagnóstico retardado, perda de peso excessiva consequente à disfagia e associação de doenças cardiopulmonares decorrente do abuso de tabaco, tornam o portador dessa neoplasia paciente de difícil controle clínico, tendo o médico que o assiste poucas possibilidades terapêuticas. Este fato é muito comum, uma vez que em vários centros de tratamento da neoplasia esofágica, principalmente no mundo ocidental, apenas cerca de 20-30% dos pacientes conseguem realizar tratamento cirúrgico radical 15,17,18 .Dessa forma, muitas vezes o tratamento para essa afecção torna-se paliativo, sendo que o ideal seriam procedimentos que restaurassem satisfatoriamente a deglutição, sem a necessidade de novas internações hospitalares, com menores índices de complicações e que proporcionassem qualidade de vida mais adequada9. Assim, com o evoluir da técnica cirúrgica, passou-se procurar alternativas que atingissem essas finalidades, sendo o tubo gástrico isoperistáltico de grande curvatura um dos métodos de eleição 18,20 .Entretanto, o grande óbice deste procedimento é a deiscência da anastomose do tubo gástrico com o esôfago cervical, retardando a deglutição normal e, consequentemente, comprometendo em demasia a qualidade de vida do paciente que já se apresenta com condições nutricionais bem comprometidas devido ao caráter avançado da doença 7,9,18 . Estudo anterior em 53 pacientes com câncer de esôfago irressecável no qual estes autores utilizaram tubo gástrico isoperistaltico paliativo, a anastomose esofagogástrica cervical foi confeccionada com sutura manual, com deiscência anastomótica em 29,5%, o que comprometeu muito a qualidade de vida destes pacientes, impedindo que eles pudessem deglutir por via oral em média por um mês 4 .Com o advento da sutura mecânica, divulgada a partir da década de 60, tornou-se possível desenvolver nos dias atuais

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A Stapling Instrument for End-to-end Inverting Anastomoses in the Gastrointestinal Tract

Cited by 158 publications

References 4 publications

Primary cytoreductive surgery with rectosigmoid colon resection for patients with advanced epithelial ovarian carcinoma

Primary cytoreductive surgery with rectosigmoid colon resection for patients with advanced epithelial ovarian carcinoma

Hand-Sewn Versus Stapled Esophagogastric Anastomosis in the Neck: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Tubo gástrico isoperistáltico de grande curvatura gástrica com sutura mecânica no tratamento cirúrgico do câncer de esôfago irressecável

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