Asian journal of endoscopic surgery · 2018
Our connection procedure for an EEA™ XL stapler and anvil head using EEA OrVil™ for laparoscopic total or proximal gastrectomy.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rino Yasushi, Yukawa Norio, Kano Kazuki, Sato Tsutomu, Yamada Takanobu, Aoyama Toru, Maezawa Yukio, Oshima Takashi, Shiozawa Manabu, Morinaga Soichiro, Cho Haruhiko, Yoshikawa Takaki, Masuda Munetaka
Аннотация
INTRODUCTION: We describe an easy technique to connect the anvil and center rod of the EEA™ OrVil™.
MATERIALS AND SURGICAL TECHNIQUE: The bulb tip of EEA OrVil was orally inserted slowly until the valve tip reached the esophageal stump. The surgeon inserted forceps while grasping the anvil from the right abdomen trocar. The circular stapler (EEA XL) was inserted via the cut-off stump of the lifted jejunum or remnant stomach through the intraumbilical incision. Then, the circular stapler was held with the shaft convex. When the automated stapler and center rod were confirmed to be completely aligned, the anvil and the main unit were connected, and the device was fired.
DISCUSSION: Although we only reversed the direction of the circular stapler's shaft, this method improved the ease of the operation.
MATERIALS AND SURGICAL TECHNIQUE: The bulb tip of EEA OrVil was orally inserted slowly until the valve tip reached the esophageal stump. The surgeon inserted forceps while grasping the anvil from the right abdomen trocar. The circular stapler (EEA XL) was inserted via the cut-off stump of the lifted jejunum or remnant stomach through the intraumbilical incision. Then, the circular stapler was held with the shaft convex. When the automated stapler and center rod were confirmed to be completely aligned, the anvil and the main unit were connected, and the device was fired.
DISCUSSION: Although we only reversed the direction of the circular stapler's shaft, this method improved the ease of the operation.