Three Yearsʼ Experience with Esophageal Stapling Device

Behl, Pushkar R.; Holden, Michael P.; Brown, A. Hedley

doi:10.1097/00000658-198308000-00003

Cited by 20 publications

(11 citation statements)

References 10 publications

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“…Being aware of this, we antici pate such a complication and add 6-8 externally rein forcing 3-0 atraumatic polyglycolic acid sutures after fin ishing the stapled anastomosis. Behl et al [20] and Huttunen et al [18] use such sutures especially if the dough nuts are incomplete. The stapler has to be held with the handles upward and removed in the same position while observing the intactness of the doughnuts.…”

Section: Discussionmentioning

confidence: 99%

The EEA Stapling Instrument in Gastric Cancer Surgery

Tuchmann¹,

Prendinger²,

Armbruster³

et al. 1989

Dig Surg

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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.

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Section: Discussionmentioning

confidence: 99%

The EEA Stapling Instrument in Gastric Cancer Surgery

Tuchmann¹,

Prendinger²,

Armbruster³

et al. 1989

Dig Surg

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“…However, compared to a hand-sewn anastomosis, stapler usage results in a higher incidence of postoperative anastomotic stricture formations [8, 9, 10]. Some authors assigned this to be mainly due to the lack of mucosa-mucosa apposition [8, 9, 10]. This was well demonstrated in a study of sutured and stapled colorectal anastomosis in dogs, the sutured anastomosis showed rapid epithelization, however, stapled anastomosis produced a 2- to 4-mm mucosal gap [11].…”

Section: Discussionmentioning

confidence: 99%

Self-Expandable Metallic Stent Therapy of Esophagojejunal Stricture in a Stapled Anastomosis: A Case Report and Review of the Literature

Üstündağ

Köseoğlu²,

Çetin³

et al. 2001

Dig Surg

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The introduction of the stapler apparatus has provided safe and effective gastrointestinal anastomotic surgical operations for most surgeons. However, the major disadvantage of stapler surgery is an increased risk of anastomotic stricture formation. Treatment of this kind of stricture is performed mainly by using endoscopic balloon dilators. However, this therapy may fail or the patient may become reactive or uncooperative during dilatation sessions. Herein, we present a case to show the successful and uncomplicated insertion of a self-expanding metallic stent into an esophagojejunal anastomotic stricture which developed 1 month after total gastrectomy and stapled esophagojejunal anastomosis in a patient with gastric carcinoma. This is the 3rd report in the literature.

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“…It was reported that recent advances of the EEA sta pling device reduced the incidence of anastomotic leakage [18,19]. It is considered that the intrathoracic anastomo sis using the EEA stapling device is a safe procedure.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Esophagectomy for Lower Esophageal Cancer through Left Oblique Thoracolaparotomy and Right Posterolateral Thoracotomy

et al. 1995

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Radical operations for lower esophageal cancer, including lymph node dissection in the upper, middle and lower mediastinal and the upper abdominal regions were performed through a left oblique thoracolaparotomy and a right posterolateral thoracotomy in 5 cases. A satisfactory surgical view through the oblique thoracolaparotomy insured easy, safe and complete removal of the tumor and the lymph nodes in the lower mediastinal and upper abdominal regions, and additional right posterolateral thoracotomy was useful for the lymph node dissection in the upper and middle mediastinum. Reconstruction was performed by the intrathoracic anastomosis between the upper esophagus and the gastric tube or jejunum using the EEA stapling device. Extubation of a tracheal tube was possible within 3 days after operation in all cases, and no respiratory complication was noted in any case. This new approach for lower esophageal cancer is considered to be useful for easy, safe and complete removal of the tumor and the regional lymph nodes.

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Three Yearsʼ Experience with Esophageal Stapling Device

Cited by 20 publications

References 10 publications

The EEA Stapling Instrument in Gastric Cancer Surgery

The EEA Stapling Instrument in Gastric Cancer Surgery

Self-Expandable Metallic Stent Therapy of Esophagojejunal Stricture in a Stapled Anastomosis: A Case Report and Review of the Literature

Thoracic Esophagectomy for Lower Esophageal Cancer through Left Oblique Thoracolaparotomy and Right Posterolateral Thoracotomy

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