The EEA Stapling Instrument in Gastric Cancer Surgery

Abstract

Report on the use of EEA staplers in gastric cancer surgery. The stapler was used in proximal anastomoses – 83 esophagojejunostomies and five esophagogastrostomies. The following intraoperative problems occurred: insufficiency of the purse string suture (2), lumen of the esophagus too small (1), esophageal wall torn (4), incomplete rings (3). Postoperative complications: 1 (fatal) insufficiency of the stapler line, 6 postoperative deaths not linked to the use of staplers. Attention ought to be paid to the special technique in using stapling devices; the EEA circular stapler is a helpful instrument to keep postoperative leakage and mortality after total or proximal gastrectomy as low as possible.

Loop Ileostomy Closure: Comparison of Cost Effectiveness between Suture and Stapler

“…The lower level of postoperative bowel obstruction after stapled anastomosis seems to confirm the suggestion that the edema at a narrowed hand-sewn anastomosis creates a smaller lumen diameter [3,8]. Intestinal hemorrhage is a potentially significant complication of stapled ileostomy closure and was observed in four of our patients [9][10][11].…”