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Open Access 01-07-2019 | Technical Advances

Enhancing the precision of circular stapled colorectal anastomosis: could powered stapler technology provide the solution?

Authors: R. Mirnezami, A. Soares, M. Chand

Published in: Techniques in Coloproctology | Issue 7/2019

Excerpt

The use of circular stapling devices to facilitate low colorectal anastomosis (CRA) was first described in the 1970s. This approach is now standard practice and has consistently demonstrated equivalence in terms of safety and efficacy compared with hand-sewn anastomosis, with the added advantages of shorter anastomotic time and greater reproducibility. Briefly, the key elements of circular stapled CRA comprise: (1) selecting a stapler gun of appropriate size; (2) securing the anvil in the distal end of the mobilised colonic conduit; (3) performing a rendezvous manoeuvre to securely dock the anvil onto the end of the stapler gun, which has been advanced from below; and (4) firing the stapler to complete the anastomosis. …

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Kono E et al (2014) Ergonomic evaluation of a mechanical anastomotic stapler used by Japanese surgeons. Surg Today 44(6):1040–1047CrossRefPubMed

Kono E, Tomizawa Y, Matsuo T, Nomura S (2012) Rating and issues of mechanical anastomotic staplers in surgical practice: a survey of 241 Japanese gastroenterological surgeons. Surg Today 42(10):962–972CrossRefPubMed

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Title: Enhancing the precision of circular stapled colorectal anastomosis: could powered stapler technology provide the solution?
Authors: R. Mirnezami
A. Soares
M. Chand
Publication date: 01-07-2019
Publisher: Springer International Publishing
Published in: Techniques in Coloproctology / Issue 7/2019
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-019-02031-9

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Enhancing the precision of circular stapled colorectal anastomosis: could powered stapler technology provide the solution?

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