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Journal articles on the topic 'Linear stapler'

Author: Grafiati

Published: 4 June 2021

Last updated: 15 February 2022

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1

Makey, Ian A., Magdy M. El-Sayed Ahmed, and Samuel Jacob. "The Radial Stapler Facilitates Lung-Conserving Wedge Resections." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 15, no. 5 (2020): 463–67. http://dx.doi.org/10.1177/1556984520942370.

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Objective To test whether use of the radial stapler facilitates lung-conserving wedge resections compared to the linear stapler. Methods A video-assisted thoracoscopic simulation lab was established to compare wedge resections performed only with linear staplers to wedge resections performed with the option of a radial stapler. Preserved sheep lungs were used. The target was a 0.5 cm mark on an ovoid surface of the lung equidistant from all edges. Seven fully trained cardiothoracic surgeons participated. They were instructed to obtain at least a 1 cm margin in all directions from the mark. The surgeons were allowed to work from only 2 preassigned ports. Each resected specimen was weighed. The resection margin was the shortest distance measured from the edge of the mark to the staple line. The mass-to-margin ratio was defined as the mass of the specimen divided by the length of the margin. The results were analyzed using a t-test for 2 independent means. Results The 17 radial resections demonstrated a significantly better mass-to-margin ratio (3.31 [SD = 1.19]) compared to the 11 linear resections (4.75 [SD = 1.32], t[26] = 3, P = 0.006). Conclusions In a thoracoscopic simulation, the option of a radial stapler allowed for a better mass-to-margin resection of a small target from a broad surface of the lung than a linear stapler-only option.

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Hasegawa, Suguru, Shinya Nakayama, Koya Hida, Kenji Kawada, and Yoshiharu Sakai. "Effect of Tri-Staple™ Technology and Slow Firing on Secure Stapling Using an Endoscopic Linear Stapler." Digestive Surgery 32, no. 5 (2015): 353–60. http://dx.doi.org/10.1159/000437216.

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Aim: To evaluate the effect of Tri-staple™ technology and slow firing using the Endo-GIA™ endoscopic linear stapler. Methods: The cardiac and pyloric portions of porcine stomachs were divided using the endoscopic linear stapler with different reload types. A total of 8 min of waiting time was employed during firing in the slow-firing group and no waiting time was employed in the normal-firing group. The shape of the staples was then evaluated. The length of the staple line and serosal laceration was also determined. Results: There was a moderate negative correlation between tissue thickness and secure staple formation. Tri-staple™ reloads (purple, black) offered more secure staple formation compared with Universal green reload. Although slow firing enhanced secure staple formation, its effect was greater when using green reload, compared with Tri-staple™ reloads. Significantly shorter staple line length and longer serosal laceration was observed in the thick tissue. Although the cartridge type did not influence lengths of the staple line or serosal laceration, both were better in the slow-firing group. Conclusions: Tri-staple™ reloads offered more secure staple formation compared with the Universal reload. Although slow firing improved staple line shortening and serosal laceration, its effect on secure stapling was relatively small when using Tri-staple™ reloads.

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Bernardi, Daniele, Emanuele Asti, and Luigi Bonavina. "VS03.08: ANASTOMOTIC TECHNIQUES FOR MINIMALLY INVASIVE TRANSTHORACIC ESOPHAGECTOMY." Diseases of the Esophagus 31, Supplement_1 (2018): 49. http://dx.doi.org/10.1093/dote/doy089.vs03.08.

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Abstract Description Minimally invasive esophagectomy has the potential to reduce the incidence of pulmonary complications and postoperative pain. This video shows two safe and reproducible technical variants for thoracoscopic stapled anastomosis. The patient is placed in a left semi-prone position after induction of anesthesia with a single lumen orotracheal tube. Triportal access and low-pressure pneumothorax (8 mmHg) are used for the procedure. Once circumferential mobilization of the esophagus is completed, intraoperative ultrasonography is performed to identify a previously placed endoscopic metal clip marking the upper tumor level. The esophagus is safely transected above this level. An end-to-side intra-corporeal esophagogastric anastomosis is performed. Technique A. The esophagus is stapled with a 60 mm cartridge (EndoGIA™ Tri-Staple™ purple). The anvil of a 25 mm circular stapler (OrVil™) is inserted transorally and retrieved through a small hole in the esophageal stump. Technique B. The 25 mm anvil is inserted through a transverse esophagotomy with a 7 cm long 2–0 polypropylene suture attached to the sharp tip. The suture is passed from inside to outside of the esophageal lumen. The esophagus is then divided distal to the anvil with an linear stapler. At this point, the anvil is pulled out with a gentle traction close to the stapled line. In both techniques, the circular stapler is introduced into the chest cavity through a mini-thoracotomy at the level of lowermost trocar and a wound retractor (Alexis™) is used. The head of the circular stapler, sealed with a surgical glove cutted at the middle finger, is then introduced into the gastric tube through a small gastrotomy on the lesser curvature. The tip of the gastric tube is perforated close to the greater curvature and engage the esophageal anvil. After checking the doughnut, transection of the remnant gastric tube is completed with a linear stapler and the specimen is retrieved through the mini-thoracotomy. Disclosure All authors have declared no conflicts of interest.

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Durao, Carolina, Sofia Decq Motta, Ana Hebe, Ricardo Pacheco, Pedro Montalvão, and Miguel Magalhães. "Linear Stapler in Total Laryngectomy." International Journal of Otolaryngology and Head & Neck Surgery 03, no. 06 (2014): 354–58. http://dx.doi.org/10.4236/ijohns.2014.36063.

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Deng, Donna Y., Maxwell V. Meng, Hiep T. Nguyen, Gary C. Bellman, and Marshall L. Stoller. "Laparoscopic linear cutting stapler failure." Urology 60, no. 3 (2002): 415–19. http://dx.doi.org/10.1016/s0090-4295(02)01778-8.

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6

Vasaiya, Mehulkumar K., Samir M. Shah, Vikram B. Gohil, and Milankumar S. Vaghasia. "A prospective study of 50 cases of laparoscopic intestinal anastomosis by Endo GIA universal loading stapler (green/blue) versus Endo GIA articulating reload with tri staple technology (purple)." International Surgery Journal 7, no. 11 (2020): 3657. http://dx.doi.org/10.18203/2349-2902.isj20204667.

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Background: Intestinal anastomosis is a commonly performed procedure in surgery. Various evolvements have occurred in the field of intestinal anastomosis and recent advancement is the use of stapler in laparoscopic surgeries as a device for Gastrointestinal (GI) anastomosis. Few previous studies evaluating the clinical safety of the 2 laparoscopic linear stapling devices are available.Methods: A prospective comparative study of 50 cases which met the inclusion and exclusion criteria were included in this hospital-based study. They were randomly allocated to two groups, Group A which underwent laparoscopic intestinal anastomosis by Endo GIA tri-staple (purple) stapler and Group B which underwent Endo GIA universal loading unit (blue/green) stapler. Primary outcome was assessed in terms of intra-operative staple line bleeding, operative time and post-operative anastomotic leak.Results: Patients with laparoscopic intestinal anastomosis by Endo GIA tri-staple stapler (purple) have required less operation time as compared to Endo GIA universal loading unit. In Endo GIA universal loading unit (blue/green) 04% patients developed anastomotic leak and 40% patients had intra-operative staple line bleed while with Endo GIA tri-staple no postoperative anastomotic leak was found and 02% patients developed intra-operative staple line bleeding.Conclusions: The result of our study has shown that the Endo GIA reload tri- staple (purple) is superior in terms of having no anastomosis leak, negligent staple line bleeding and less operation time as compared with Endo GIA universal loading unit (blue/green). Thus, laparoscopic intestinal anastomosis by Endo GIA reload tri-staple stapler (purple) technology is more effective and overall more efficient.

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Maciver, A., M. McCall, D. Mihalicz, D. Al-Adra, R. Pawlick, and A. M. J. Shapiro. "The Use of Bovine Pericardial Buttress on Linear Stapler Fails to Reduce Pancreatic Fistula Incidence in a Porcine Pancreatic Transection Model." HPB Surgery 2011 (October 25, 2011): 1–6. http://dx.doi.org/10.1155/2011/624060.

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We investigate the effectiveness of buttressing the surgical stapler to reduce postoperative pancreatic fistulae in a porcine model. As a pilot study, pigs (n=6) underwent laparoscopic distal pancreatectomy using a standard stapler. Daily drain output and lipase were measured postoperative day 5 and 14. In a second study, pancreatic transection was performed to occlude the proximal and distal duct at the pancreatic neck using a standard stapler (n=6), or stapler with bovine pericardial strip buttress (n=6). Results. In pilot study, 3/6 animals had drain lipase greater than 3x serum on day 14. In the second series, drain volumes were not significantly different between buttressed and control groups on day 5 (55.3 ± 31.6 and 29.3 ± 14.2 cc, resp.), nor on day 14 (9.5 ± 4.2 cc and 2.5 ± 0.8 cc, resp., P=0.13). Drain lipase was not statistically significant on day 5 (3,166 ± 1,433 and 6,063 ± 1,872 U/L, resp., P=0.25) or day 14 (924 ± 541 and 360 ± 250 U/L). By definition, 3/6 developed pancreatic fistula; only one (control) demonstrating a contained collection arising from the staple line. Conclusion. Buttressed stapler failed to protect against pancreatic fistula in this rigorous surgical model.

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Skaerlund, M. L., L. Jacobsen, and A. Tøttrup. "Ileostomy revision using noncutting linear stapler." Colorectal Disease 10, no. 8 (2008): 833–36. http://dx.doi.org/10.1111/j.1463-1318.2007.01458.x.

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9

Hancke, Edgar. "H�morrhoidektomie mit dem Linear-Stapler." coloproctology 26, no. 6 (2004): 337–43. http://dx.doi.org/10.1007/s00053-004-5146-4.

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Gaidry, Alicia D., Laurier Tremblay, Don Nakayama, and Romeo C. Ignacio. "The History of Surgical Staplers: A Combination of Hungarian, Russian, and American Innovation." American Surgeon 85, no. 6 (2019): 563–66. http://dx.doi.org/10.1177/000313481908500617.

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Since their development in 1908, surgical staplers have been used as a method of “mechanical suturing” in efforts to divide hollow viscera and create anastomoses in an efficient and sterile manner. The concept for the surgical stapler was first developed by Humér Hultl, a Hungarian professor and surgeon, and designed by Victor Fischer, a Hungarian businessman and designer of surgical instruments. The design was highly acclaimed; however, it was bulky, cumbersome, and expensive to manufacture. In 1920, Aladár Petz, a student of Hultl, incorporated two innovations to the Fischer-Hultl stapler to create a more lightweight model, which was named the Petz clamp. In 1934, Friedrich of Ulm designed what would be the predecessor to the modern-day linear stapler. In the 1950s, Russian and American staplers began to emerge. Throughout the 1960s, a variety of stapling instruments were developed in the United States, manufactured by the United States Surgical Corporation. In the 1970s, Johnson & Johnson Ethicon brand joined the market. The United States Surgical Corporation was later bought by Tyco Healthcare and became Covidien in 2007. Through the collaboration of Felicien Steichen, Mark Ravitch, and Leon Hirsch, surgical staplers were further modified to incorporate interchangeable cartridges with various designs. With the advent of minimally invasive surgery began production of laparoscopic surgical staplers. Since its inception, the surgical stapler has provided a means to efficiently create safe and effective visceral and vascular anastomoses. The surgical stapler design continues to evolve while still maintaining the basic principles that were implemented in the original design.

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Gao, Yang, Fang Xiong, Xiaozhe Xia, et al. "Clinical outcomes of powered and manual staplers in video-assisted thoracic surgery lobectomy for lung cancer." Journal of Comparative Effectiveness Research 10, no. 13 (2021): 1011–19. http://dx.doi.org/10.2217/cer-2021-0060.

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Methods: This retrospective cohort study identified patients who underwent video-assisted thoracic surgery (VATS) lobectomy for lung cancer from January 2016 to December 2018 in a Chinese tertiary general hospital. The electronic hospital medical records associated with the VATS lobectomy for lung cancer were the data sources. Results: Based on the analysis of 433 patients with the utilization of staplers in their VATS lobectomy for lung cancer, using powered stapler was associated with significantly shorter operation time and postsurgery hospital stay length than using the manual stapler in the multivariable generalized linear regression analyses with the adjustment of patient characteristics. However, no other significant differences were observed for other clinical outcomes between the two staplers.

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12

Meagher, Alan P., and Bruce G. Wolff. "Right hemicolectomy with a linear cutting stapler." Diseases of the Colon & Rectum 37, no. 10 (1994): 1043–45. http://dx.doi.org/10.1007/bf02049322.

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Matsuzawa, Fumihiko, Shigenori Homma, Tadashi Yoshida, et al. "Serosal Laceration During Firing of Powered Linear Stapler Is a Predictor of Staple Malformation." Surgical Innovation 24, no. 6 (2017): 590–97. http://dx.doi.org/10.1177/1553350617733350.

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PALERMO, Mariano, and Edgardo SERRA. "SIMPLIFIED LAPAROSCOPIC GASTRIC BYPASS WITH GASTROJEJUNAL LINEAR MECHANICAL ANASTOMOSIS: TECHNICAL ASPECTS." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 29, suppl 1 (2016): 91–94. http://dx.doi.org/10.1590/0102-6720201600s10022.

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ABSTRACT Background: Gastric bypass is a restrictive and malabsorptive surgery. The restrictive part consists in the creation of a small gastric pouch. The gastrointestinal bypass serves as the malabsorptive element. Aim: To describe a simplified gastric bypass approach for morbid obese patients, showing our results, and also remarking the importance of this technique for reducing the learning curve. Method: The patient is positioned in a split legs position and carefully strapped to the operating room table, with the surgeon between the patient's legs. Five trocars are inserted after pneumoperitoneum at the umbilicus. Dissection of the esophagogastric angle and lesser curvature is mandatory before the gastric pouch manufacturing. This pouch is done with two blue load staplers. Using a blue load linear stapler inserted only half way into the hole in the pouch is used to perform the gastrojejunal anastomosis and in order to create an anastomosis that is about 2 cm in length. A side-to-side jejunojejunostomy is done with a white load linear stapler. The last step of the gastric bypass consists in the cut of the jejunum between the two anastomosis with a white load linear stapler. Blue test is performed in order to detect leaks. Results: From January 2012 to December 2015, 415 simplified RYGB were performed. Gender: 67% female and 33 % males. Average of BMI 44.7. Mean age was 42 years old. Mean operative time 79 min. 39 % of this sample had T2 diabetes. Regarding complications were observed, one fistula, one gastrojejunal stenosis and one obstruction due to a bezoar. Conclusion: The described technique is a simplified approach in which all the anastomosis are performed in the upper part of the abdomen, allowing the surgeons to be more systematized and avoiding them to make mistakes in the confection of the Roux-en-Y anastomosis. This simplified gastric bypass is a safe and reproducible technique.

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Lee, Won-Suk, Woo Yong Lee, Ho-Kyung Chun, Seong Hyeon Yun, Yong Beom Cho, and Hae-Ran Yun. "Curved cutter stapler vs. linear stapler in rectal cancer surgery: a pilot prospective randomized study." International Journal of Colorectal Disease 24, no. 11 (2009): 1327–32. http://dx.doi.org/10.1007/s00384-009-0771-6.

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Yang, Jing-rui, Rui Xiao, Jiang Zhou, Ze-feng Wang, and Jian-jun Ren. "Endoscopic linear stapler-assisted resection of a giant solid pseudopapillary pancreatic tumor with concurrent regional portal hypertension: a case report." Journal of International Medical Research 46, no. 7 (2018): 3000–3008. http://dx.doi.org/10.1177/0300060518775246.

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Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm with a low incidence and low rate of malignancy. We herein report a rare case of SPTP concurrent with regional portal hypertension (RPH) that was successfully treated by distal pancreatectomy and splenectomy. A 22-year-old woman presented with a left upper abdominal apophysis and normal liver function. She was diagnosed with an SPTP and RPH by abdominal ultrasound and computed tomography, and she subsequently underwent distal pancreatectomy and splenectomy. Noticeably, varicose vein plexus with wide range appeared on the upper edge of the pancreatic body and posterior gastric wall of the patient. Therefore, we created a path to avoid touching the varicose veins and took advantage of the endoscopic linear stapler to staple the veins. We herein report our surgical experience on SPTP assisted with the endoscopic linear stapler, which will be very realistic for the management of this rare clinical entity.

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Dong, YiNan. "T-shaped linear-stapled intrathoracic esophagogastric anastomosis for minimally invasive Ivor Lewis esophagectomy." Journal of Clinical Oncology 34, no. 4_suppl (2016): 137. http://dx.doi.org/10.1200/jco.2016.34.4_suppl.137.

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137 Background: Linear stapler is increasingly used for the gastroesophageal anastomosis in minimally invasive esophageal cancer surgeries; however, it is more commonly used in cervical delta anastomosis, less in totally thoracoscopic Ivor Lewis esophagectomy for esophageal cancer. A standardized rapid linear stapler based gastroesophageal anastomotic technique remains to be developed. Methods: Here we report a new technique for the endoscopic gastroesophageal anastomosis that is completed just with a linear stapler (Ethicon Flex 60). In this technique, a linear stapler is first fired upward to establish the side to side anastomosis of the esophagus and stomach. This creates the anterior and posterior wall of the anastomotic site. The linear stapler is then fired along the extension line of the gastric conduit, to complete the anastomosis and at the same time resect the lesser curvature of the stomach and the esophageal cancer. Upon completion, the anastomotic plane is axial, and contains a superior edge, inferior edge, and anterior edge. Results: By the middle of September 2015, we have performed the minimally invasive Ivor Lewis esophagectomy with this anastomosis for 26 esophageal cancer patients. We are following these patients, and the longest follow up time is about 18 month and the shortest is 12 month. None of these patients has had any anastomotic bleeding, leak, or stenosis. Conclusions: This new technique is less restricted by the limited space during minimally invasive Ivor Lewis procedure. The anastomotic technique is easy to perform and appears to be reliable, safe and effective judging from our limited clinical experience up to this date.

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TOYAMA, Yoichi, Yoshiyuki FURUKAWA, Hideyuki KASHIWAGI, et al. "COMPLETELY EVERTED TRIANGULAR GASTROINTESTINE ANASTOMOSIS USING A LINEAR STAPLER." Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67, no. 10 (2006): 2267–72. http://dx.doi.org/10.3919/jjsa.67.2267.

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19

Tomifuji, Masayuki, Koji Araki, Daisuke Kamide, et al. "Total Laryngectomy Using a Linear Stapler for Laryngeal Cancer." Nippon Jibiinkoka Gakkai Kaiho 117, no. 6 (2014): 821–26. http://dx.doi.org/10.3950/jibiinkoka.117.821.

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Sotelo Noguera, R., E. Castle, R. De Andrade, et al. "V8 Malfunction of linear cutting stapler in kidney surgery." European Urology Supplements 14, no. 2 (2015): eV8. http://dx.doi.org/10.1016/s1569-9056(15)61093-4.

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Mitsusada, Makoto, Hiroshi Arai, Hirotoshi Egawa, Tatsuro Wakayama, and Nobunori Koga. "Splenic Preservation Using a Harmonic Scalpel and Linear Stapler." Prehospital and Disaster Medicine 14, S1 (1999): S26—S27. http://dx.doi.org/10.1017/s1049023x00033379.

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Talmi, Yoav P., Yehuda Finkelstein, Rivkah Gal, Yitzhak Shvilli, Rima Sadov, and Yuval Zohar. "Use of a Linear Stapler for Postlaryngectomy Pharyngeal Repair." Laryngoscope 100, no. 5 (1990): 552???555. http://dx.doi.org/10.1288/00005537-199005000-00021.

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Khalil, Osama H., Tamer A. A. M. Habeeb, and Bassem M. Sieda. "Modified perineal linear stapler resection for external rectal prolapse." Annals of Medicine and Surgery 54 (June 2020): 22–25. http://dx.doi.org/10.1016/j.amsu.2020.03.011.

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Bajrić, Amela, Muhamed Katica, Aida Katica, et al. "Assessment of the haematological profile after appendectomy using linear titanium stapler clips: An experimental study in rats." Scripta Medica 52, no. 1 (2021): 22–27. http://dx.doi.org/10.5937/scriptamed52-29805.

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Introduction: The technique of closing the appendiceal stump using linear titanium stapler clips is being used more and more frequently in laparoscopic surgery, despite the good practice in the use of resorbable single endoloop vicryl ligatures and/or the non-resorbable plastic hem-o-lok clips. No light has been shed on potential undesirable effects on the haemathological profile of the use of titanium stapler clips. This experimental study aimed at establishing any possible undesirable effect of linear titanium stapler clips and single resorbable vicryl endoloop ligatures on the blood cells in rats following appendectomy. Methods: A total of 70 adult rats were used, divided into a control group (n = 10), and two experimental groups (n = 30 + 30). The appendices were removed from the rats in the first experimental group using titanium stapler clips and in the second experimental group the appendiceal stump using resorbable endoloop vicryl ligatures was closed. In both experimental groups three sub-groups with ten animals each were formed, from which peripheral blood from a tail vein on days 7, 28 and 60 was removed postoperatively, in order to assess the usual haematological parameters. Stained blood smears were also analysed in order to establish any poikilocytotic erythrocytes present. Results: In the first experimental group, with the titanium stapler clips, more than 25 % neutrophils were found on day 7, which is a significantly different result (p < 0.05) to the control group. In the second experimental group, there were more neutrophils than in the titanium stapler clips group, especially on days 7 and 60 and the results of these two sub-groups differ statistically significantly, p < 0.05. Hypochromia was found in the endoloop vicryl ligatures group, as well as in the titanium stapler clips sub-group on day 28, due to lower haemoglobin values which were significantly different to the control group, p < 0.05. Moderate levels of annulocytes, spherocytes and stomatocytes were found in most experimental groups. Conclusion: The results of this study favour the use of linear titanium stapler clips over resorbable single endoloop vicryl ligatures, because a less unfavourable effect was established on the blood cells of the experimental rats with their use.

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Ozcinar, Beyza, Ecem Memisoglu, Ali Fuat Kaan Gok, et al. "Damage-control laparoscopic partial cholecystectomy with an endoscopic linear stapler." Turkish Journal of Surgery 33, no. 1 (2017): 37–39. http://dx.doi.org/10.5152/ucd.2017.3231.

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Enomoto, Tsuyoshi, Tsunehiko Maruyama, Sakae Horiuchi, and Nobuhiro Ohkohchi. "A Case with Intussusception of a Stump of Linear Stapler." Japanese Journal of Gastroenterological Surgery 38, no. 8 (2005): 1374–78. http://dx.doi.org/10.5833/jjgs.38.1374.

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Miles, W. F. A., J. D. Greig, R. G. Wilson, and S. J. Nixon. "Technique of laparoscopic splenectomy with a powered vascular linear stapler." British Journal of Surgery 83, no. 9 (1996): 1212–14. http://dx.doi.org/10.1046/j.1365-2168.1996.02487.x.

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Hardacre, Jeffrey M., Mario Mendoza-Sagaon, Kazunori Murata, and Mark A. Talamini. "Use of a Cauterizing Laparoscopic Linear Stapler in Intestinal Anastomosis." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 10, no. 3 (2000): 128–32. http://dx.doi.org/10.1097/00129689-200006000-00004.

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Miles, W. F. A., J. D. Greig, R. G. Wilson, and S. J. Nixon. "Technique of laparoscopic splenectomy with a powered vascular linear stapler." British Journal of Surgery 83, no. 9 (1996): 1212–14. http://dx.doi.org/10.1002/bjs.1800830911.

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Bedrin, Lev, Genadi Ginsburg, Zeev Horowitz, and Yoav P. Talmi. "25-year experience of using a linear stapler in laryngectomy." Head & Neck 27, no. 12 (2005): 1073–79. http://dx.doi.org/10.1002/hed.20280.

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Talmi, Yoav P., Yehuda Finkelstein, Rima Sadov, Ytzhack Shvili, and Yuval Zohar. "Use of a linear stapler in excision of Zenker's diverticulum." Head & Neck 11, no. 2 (1989): 150–52. http://dx.doi.org/10.1002/hed.2880110208.

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Hardacre, Jeffrey M., Mario Mendoza-Sagaon, Kazunori Murata, and Mark A. Talamini. "Use of a Cauterizing Laparoscopic Linear Stapler in Intestinal Anastomosis." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 10, no. 3 (2000): 128–32. http://dx.doi.org/10.1097/00019509-200006000-00004.

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Ohi, Masaki, Yuji Toiyama, Takahito Kitajima, et al. "Laparoscopic esophagogastrostomy using a knifeless linear stapler after proximal gastrectomy." Surgery Today 49, no. 12 (2019): 1080–86. http://dx.doi.org/10.1007/s00595-019-01836-3.

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Zhang, Xinrui, Zhimin Liu, Quan Li, et al. "Using a linear stapler for pharyngeal closure in total laryngectomy." European Archives of Oto-Rhino-Laryngology 270, no. 4 (2012): 1467–71. http://dx.doi.org/10.1007/s00405-012-2180-7.

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Renzi, Adolfo, Antonio Brillantino, Giandomenico Di Sarno, Francesco D’Aniello, Giuseppe Ferulano, and Armando Falato. "Evaluating the Surgeons’ Perception of Difficulties of Two Techniques to Perform STARR for Obstructed Defecation Syndrome." Surgical Innovation 23, no. 6 (2016): 563–71. http://dx.doi.org/10.1177/1553350616656281.

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Background. After initial enthusiasm in the use of a dedicated curved stapler (CCS-30 Contour Transtar) to perform stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS), difficulties have emerged in this surgical technique. Objective. First, to compare surgeons’ perception of difficulties of STARR performed with only Transtar versus STARR performed with the combined use of linear staplers and Transtar to cure ODS associated with large internal prolapse and rectocele; second, to compare the postoperative incidence of the urge to defecate between the 2 STARR procedures. Design and Setting. An Italian multicenter randomized trial involving 25 centers of colorectal surgery. Patients. Patients with obstructed defecation syndrome and rectocele or rectal intussusception, treated between January and December 2012. Interventions. Participants were randomly assigned to undergo STARR with a curved alone stapler (CAS group) or with the combined use of linear and curved staplers (LCS group). Main Outcome Measures. Primary end-points were the evaluation of surgeons’ perception of difficulties score and the incidence of the “urge to defecate” at 3-month follow up. Secondary end-points included duration of hospital stay, rates of early and late complications, incidence of “urge to defecate” at 6 and 12 months, success of the procedures at 12 months of follow-up. Results. Of 771 patients evaluated, 270 patients (35%) satisfied the criteria. Follow-up data were available for 254 patients: 128 patients (114 women) in the CAS group (mean age, 52.1; range, 39-70 years) and 126 (116 women) in LCS group (mean age, 50.7 years; range, 41-75 years). The mean surgeons’ perception score, was 15.36 (SD, 3.93) in the CAS group and 12.26 (SD, 4.22) in the LCS group ( P < .0001; 2-sample t test). At 3-month follow-up, urge to defecate was observed in 18 (14.6%) CAS group patients and in 13 (10.7%) LCS group patients ( P = .34; Fisher’s exact test). These values drastically decrease at 6 months until no urge to defecate in all patients at 12 months was observed. At 12-month follow-up, a successful outcome was achieved in 100 (78.1%) CAS group patients and in 105 (83.3%) LCS group patients ( P = .34; Fisher’s exact test). No significant differences between groups were observed in the hospital stay and rates of early or late complications occurring after STARR. Conclusions. STARR with Transtar associated with prior decomposition of prolapse, using linear staplers, seems to be less difficult than that without decomposition. Both procedures appear to be safe and effective in the treatment of obstructed defecation syndrome resulting in similar success rates and complications.

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Ahsan, F., K. W. Ah-See, and A. Hussain. "Stapled closed technique for laryngectomy and pharyngeal repair." Journal of Laryngology & Otology 122, no. 11 (2008): 1245–48. http://dx.doi.org/10.1017/s0022215108003228.

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AbstractBackground and aims:Total laryngectomy is a recognised treatment for advanced laryngeal carcinoma. Traditionally, pharyngeal repair is performed with layered sutures. We describe our experience with a technique of closed pharyngoplasty using a linear stapler device.Material and methods:Ten total laryngectomies were performed from July 2002 to July 2004, using an Ethicon TLC 75 linear stapler for pharyngeal closure. Data collected included age, sex, staging, endoscopic assessment, surgical margins and post-operative course (including complications and swallowing).Results:Patients comprised eight men and two women. The mean age was 55.4 years. Six patients had stage T4 endolaryngeal carcinoma and four had stage T3. Four patients underwent pre-operative radiotherapy. Clear surgical margins were achieved in all patients. One patient developed a pharyngocutaneous fistula. Patients resumed oral intake at 48 hours, or at 72 hours if they had undergone pre-operative radiotherapy. Patients' mean hospital stay was seven days.Conclusion:This stapled closed technique for pharyngoplasty is efficient and eliminates the risk of wound contamination, thus theoretically reducing the risk of tumour seeding. In addition, we were able to commence patients on oral fluids at a mean of 48 hours after surgery. The mean hospital stay was seven days. We recommend this technique as an alternative for repairing the pharynx in patients undergoing total laryngectomy for endolaryngeal carcinoma.

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Kawamura, Hideki, Yosuke Ohno, Nobuki Ichikawa, et al. "Anastomotic complications after laparoscopic total gastrectomy with esophagojejunostomy constructed by circular stapler (OrVil™) versus linear stapler (overlap method)." Surgical Endoscopy 31, no. 12 (2017): 5175–82. http://dx.doi.org/10.1007/s00464-017-5584-z.

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Muneoka, Yusuke, Manabu Ohashi, Rie Makuuchi, et al. "Advantageous Short-Term Outcomes of Esophagojejunostomy Using a Linear Stapler Following Open Total Gastrectomy Compared with a Circular Stapler." World Journal of Surgery 45, no. 8 (2021): 2501–9. http://dx.doi.org/10.1007/s00268-021-06100-9.

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Sosa, Jorge L., Eric R. Valladares, and Guadalupe Velazquez. "P-11: Linear stapler technique for laparoscopic sleeve gastroplasty (Magenstrasse-Mill)." Surgery for Obesity and Related Diseases 6, no. 3 (2010): S30. http://dx.doi.org/10.1016/j.soard.2010.03.213.

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Sofferman, Robert A., and Igor Voronetsky. "Use of the Linear Stapler for Pharyngoesophageal Closure After Total Laryngectomy." Laryngoscope 110, no. 8 (2000): 1406–9. http://dx.doi.org/10.1097/00005537-200008000-00035.

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Talmi, Yoav P., Roman Roitman, Rolf Betinger, Yehuda Finkelstein, Michael Nobel, and Yuval Zohar. "Use of a linear stapler in pharyngeal closure after total laryngectomy." Operative Techniques in Otolaryngology-Head and Neck Surgery 1, no. 1 (1990): 13–16. http://dx.doi.org/10.1016/s1043-1810(10)80267-2.

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Li, Ziyu, and Rulin Miao. "Usage of linear stapler in laparoscopic gastrectomy in gastric cancer patients." Journal of Xiangya Medicine 2 (April 15, 2017): 36. http://dx.doi.org/10.21037/jxym.2017.04.02.

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Patel, ParthKanaiyalal, Mishal Shah, Sanjeev Patni, and Shashikant Saini. "Cervical esophago-gastric anastomosis using linear cutter stapler in esophageal cancer." Indian Journal of Cancer 54, no. 4 (2017): 669. http://dx.doi.org/10.4103/ijc.ijc_381_17.

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Cao, Yang-Hui. "Application of a linear cutting stapler in transverse lumen colostomy apothesis." World Chinese Journal of Digestology 23, no. 16 (2015): 2637. http://dx.doi.org/10.11569/wcjd.v23.i16.2637.

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Ayav, A., L. Bresler, L. Brunaud, and P. Boissel. "Long-Term Results of Transanal Repair of Rectocele Using Linear Stapler." Diseases of the Colon & Rectum 47, no. 6 (2004): 889–94. http://dx.doi.org/10.1007/s10350-004-0527-x.

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Tepetes, K., M. Spyridakis, and C. Hatzitheofilou. "Local treatment of a loop colostomy prolapse with a linear stapler." Techniques in Coloproctology 9, no. 2 (2005): 156–58. http://dx.doi.org/10.1007/s10151-005-0217-2.

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Wu, Ming-Ho, and Hsing-Hsien Wu. "Simple pyloroplasty using a linear stapler in surgery for esophageal cancer." Surgery Today 43, no. 5 (2012): 583–85. http://dx.doi.org/10.1007/s00595-012-0282-x.

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Takeyama, H., H. Sawai, M. Sato, et al. "A new technique for intestinal isoperistaltic anastomosis utilizing a linear stapler for enlargement after anastomosis performed with a circular stapler." Surgical Endoscopy 21, no. 10 (2007): 1891–94. http://dx.doi.org/10.1007/s00464-007-9336-3.

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de la Portilla, F., R. Rada, J. Vega, et al. "Transanal Rectocele Repair Using Linear Stapler and Bioabsorbable Staple Line Reinforcement Material: Short-Term Results of a Prospective Study." Diseases of the Colon & Rectum 53, no. 1 (2010): 88–92. http://dx.doi.org/10.1007/dcr.0b013e3181baec51.

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Zilling, Thomas, Bruno S. Walther, and Torsten Holmin. "Left-Sided Hepatectomy With a Linear Stapling Device: An Experimental Study on Pigs." HPB Surgery 6, no. 1 (1992): 51–55. http://dx.doi.org/10.1155/1992/84680.

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Thirteen pigs underwent resection of the left liver lobe. By random selection, the animals were resected either with the aid of an RLG 90R linear stapling device or by the conventional finger-fracture technique. There was one postoperative death due to anaesthetic complications. The median operative time using the stapler was 27 min (range 19–40 min) which was significantly shorter (p = 0.0065) than that required for resection by the finger-fracture technique (42.5 min; range 37–55 min).The median blood loss, estimated by counting the number of gauze swabs used, was 425 ml and 275 ml for the finger-fracture resected and stapler resected groups, respectively (ranges 275–550 ml versus 175– 300 ml; p = 0.015).The animals were sacrificed and examined one week after the operative procedure. Except for a small bile pseudo-cyst in one pig operated upon with conventional resection, no sign of bleeding or biliary leakage was revealed.This study demonstrates the feasibility of stapling the liver to facilitate resection.

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