One-shot side-to-side anastomosis (OSSSA) with stapler for cavo-cavostomy in liver transplantation: the first step towards a fully mechanized liver transplant?

A comparative study between stapled and sutured side-to-side cavo-caval anastomosis for outflow reconstruction in deceased donor liver transplants

“…The shorter anastomosis and, thereby, the IVC clamp time may explain the similar rates of postoperative renal dysfunction despite complete caval clamping. This technique also mitigates the risk of injuring the thin venous wall while suturing in depth, and the constant inter-staple distances ensure a smoother anastomosis line 1 . Furthermore, since multiple stapler fires are possible, the anastomosis diameter can be widened at any point, which is not possible in the sutured approach.…”

“…This technique also mitigates the risk of injuring the thin venous wall while suturing in depth, and the constant inter-staple distances ensure a smoother anastomosis line. [1] Furthermore, since multiple stapler fires are possible, the anastomosis diameter can be widened at any point, which is not possible in the sutured approach. The optimal length of the anastomosis is not able to be determined from our early experience.…”

“…Ravi Mohanka 1,2 Vinayak Nikam 1,3 Prashantha Rao 1,2 Anurag Shrimal 1,4 Ankush Golhar 1,4 Amay Banker 2 Mitul Shah 1,2 Saurabh Kamath 1,2 Ameya Panchwagh 1,2…”

“…Stapled anastomoses have only been described in experimental and rescue settings. [1][2][3] We describe the technical nuances of stapled side-to-side cavocavostomy (SSCC) in this controlled matched study and compare its feasibility, safety, and outcomes with sutured SSCC in deceased donor liver transplants.…”