New double-stapling technique for esophagojejunostomy and esophagogastrostomy in gastric cancer surgery, using a peroral intraluminal approach with a digital stapling system

Intracorporeal esophagojejunostomy using the double stapling technique after laparoscopic total gastrectomy: A retrospective case-series study

“…This double stapling technique was first introduced in colorectal surgery (particularly rectal cancer) for use in a narrow operative field, and its safety in colorectal surgery has already been reported and demonstrated in many studies [26][27][28][29] . Thus, the double stapling technique can be useful and time-saving for esophagojejunostomy after LTG, and recent studies have reported on its safety [23,30,31] . There was only one anastomotic stricture after discharge (a late complication), and there were no major complications, such as anastomotic leak, in the present study.…”

Automatic aortic anastomosis with an innovative computer-controlled circular stapler for surgical treatment of aortic aneurysm

“…The iDrive is a type of Intelligent Surgical Instrument (Power Medical Interventions) that is designed to transect, resect, and anastomose tissue. [14][15][16][17] It has a control unit, called the digital loading unit (DLU), to control the accurate placement of the cartridge. Each DLU contains a programmed electronic device that triggers activation of the appropriate program in the main microprocessor.…”

“…If there is any problem, such as excessive tissue thickness, the surgeon is alerted that the system is out of stapling range, which ensures safety. [14][15][16][17] We used a disposable circular stapler 25 (CS 25) as the DLU installed in the iDrive for this study. Clinically, the CS 25 is used for intestinal anastomosis.…”

“…1,[10][11][12][13] The SurgAssist system (Power Medical Interventions, Covidien plc, Dublin, Ireland) is a newly developed computer-controlled mechanical stapler. [14][15][16][17] This system has made breakthroughs relative to conventional mechanical staplers in controlling the accurate placement of the cartridge, controlling the closure of the stapler, and firing. Each cartridge contains a programmed electronic device that triggers the activation of the appropriate program in the main microprocessor.…”

Laparoscopic esophagojejunostomy using the EndoStitch and a circular stapler under a direct view created by the ENDOCAMELEON

“…Some surgeons have reported the use of extracorporeal approaches through mini-laparotomy [7,8], which may spoil the cosmetic benefits of laparoscopic surgery. Another approach involves side-to-side anastomosis using a linear stapler [9,10].…”