Efficacy of the modified anvil grasper for laparoscopic intra-corporeal circular stapled anastomosis

Nakase, Yuen; Takagi, Tsuyoshi; Fukumoto, Kanehisa; Miyagaki, Takuya
October 2012
Journal of Minimal Access Surgery;Oct-Dec2012, Vol. 8 Issue 4, p161
Academic Journal
The traditional anvil grasper may be difficult to use for connecting the stem of an anvil with the centre rod of a circular stapler because the grasper holds the anvil completely still. In addition, the head angle is fixed and cannot handle the anvil head delicately in a tight pelvic space. Many surgeons use a grasper designed for holding the bowel or a dissector for holding the anvil during intra-corporeal circular stapled anastomosis during low anterior resection, sigmoidectomy, left hemi colectomy and know that it is difficult to connect segments with these instruments due to slipping. A new modified anvil grasper was developed with curved blades that can easily grasp the stem of an anvil and smoothly connect it with the centre rod of the circular stapler. This grasper should be useful for surgeons performing laparoscopic intracorporeal circular stapled anastomoses, which are the most challenging part of laparoscopic colorectal surgery.


Related Articles

  • Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results. Sciuto, A.; Grifasi, C.; Pirozzi, F.; Leon, P.; Pirozzi, R.; Corcione, F. // Techniques in Coloproctology;Dec2016, Vol. 20 Issue 12, p865 

    Background: The Deloyers procedure, which includes inversion of the right colon around the axis of the ileocolic vessels, can be used to achieve a well vascularized, tension-free colorectal anastomosis after extended left colectomy. The aim of this study is to report our technique and outcome in...

  • The use of a compression device as an alternative to hand-sewn and stapled colorectal anastomoses: is three a crowd? Buchberg, Brian; Masoomi, Hossein; Bergman, Herlinda; Mills, Steven; Stamos, Michael; Buchberg, Brian S; Mills, Steven D; Stamos, Michael J // Journal of Gastrointestinal Surgery;Feb2011, Vol. 15 Issue 2, p304 

    Background: The NiTi CARâ„¢ 27 is a newer device that uses compression to create an anastomosis. An analysis of this device in the creation of colorectal anastomoses in humans has yet to be reported in the USA.Methods: A non-randomized, prospective pilot study of...

  • A new application of the four-arm standard da Vinci surgical system: totally robotic-assisted left-sided colon or rectal resection. Koh, Dean; Tsang, Charles; Kim, Seon-Hahn // Surgical Endoscopy;Jun2011, Vol. 25 Issue 6, p1945 

    Background: The key to successful rectal cancer resection is to perform complete total mesorectal excision (TME). Laparoscopic TME can be challenging, especially in the narrow confines of the pelvis. Robotic-assisted surgery can overcome these limitations through superior three-dimensional (3-D)...

  • Retroileal colorectal anastomosis after extended left colectomy: application for laparoscopic surgery. Sakamoto, Yasuo; Tokunaga, Ryuma; Miyamoto, Yuji; Ohuchi, Mayuko; Nakamura, Kenichi; Kosumi, Keisuke; Harada, Kazuto; Shigaki, Hironobu; Kurashige, Junji; Iwatsuki, Masaaki; Baba, Yoshifumi; Yoshida, Naoya; Baba, Hideo // Surgery Today;Dec2016, Vol. 46 Issue 12, p1476 

    Tension-free anastomosis is often difficult to achieve after extended left hemicolectomy because the residual colon is too short to reach the rectal stump. Retroileal colorectal anastomosis is very simple and useful for obtaining tension-free anastomosis. We first applied this technique to...

  • Evaluating the Learning Curve Associated with Laparoscopic Left Hemicolectomy for Colon Cancer. YAMAMOTO, MASASHI; OKUDA, JUNJI; TANAKA, KELTARO; KONDO, KEISAKU; ASA, KEIKO; KAYANO, HAJIME; MASUBUCHI, SHINSUKE; UCHIYAMA, KAZUHISA // American Surgeon;Apr2013, Vol. 79 Issue 4, p366 

    The role of laparoscopic surgery for transverse and descending colon cancer remains controversial. The aim of the present study was to characterize the learning curve for laparoscopic left hemicolectomy including the splenic flexure and to identify factors that influence this learning curve....

  • OPERAÅ¢IA HARTMANN -- OPERAÅ¢IE DE SALVARE. Vasilescu, A.; Târcoveanu, E. // Jurnalul de Chirurgie;2010, Vol. 6 Issue 2, p201 

    Hartmann's procedure is the surgical resection of the superior rectum, rectosigmoid jonction and sigmoid colon with closure of the rectal stump and colostomy. It is is an alternative to Dixon procedure and it was used to treat complicated distal colon cancer (obstruction and peritonitis) or...

  • Robotic right colectomy for cancer with intracorporeal anastomosis: short-term outcomes from a single institution. Trastulli, Stefano; Desiderio, Jacopo; Farinacci, Federico; Ricci, Francesco; Listorti, Chiara; Cirocchi, Roberto; Boselli, Carlo; Noya, Giuseppe; Parisi, Amilcare // International Journal of Colorectal Disease;Jun2013, Vol. 28 Issue 6, p807 

    Purpose: Laparoscopic surgery for colon cancer has widely accepted as safe and effective. However, few studies report outcomes on robotic right colon resection with confectioning of the intracorporeal ileocolic anastomosis. This study aims to evaluate the feasibility and safety of robotic right...

  • Intrathoracic Esophagogastric Anastomosis Using a Linear Stapler Following Minimally Invasive Esophagectomy in the Prone Position. Okabe, Hiroshi; Tanaka, Eiji; Tsunoda, Shigeru; Obama, Kazutaka; Sakai, Yoshiharu // Journal of Gastrointestinal Surgery;Feb2013, Vol. 17 Issue 2, p397 

    Background: Minimally invasive esophagectomy (MIE) in the prone position typically includes thoracoscopic mediastinal dissection and laparoscopic gastric tube construction, followed by esophagogastric anastomosis in the neck. We introduced an intrathoracic esophagogastric anastomosis using...

  • Laparoscopic TME with APPEAR (Anterior and Perineal PlanE for ultra-low Anterior Resection of the Rectum) technique for distal rectal cancer. Di Palo, Saverio; De Nardi, Paola; Chiari, Damiano; Gazzetta, Paolo; Staudacher, Carlo // Surgical Endoscopy;Sep2013, Vol. 27 Issue 9, p3430 

    Background: Laparoscopic sphincter saving rectal resection for low rectal cancer is hampered by narrow pelvis and limitations of current stapling devices []. The APPEAR ( Anterior Perineal Plan E for Ultra-low Anterior Resection of the Rectum) was proposed by Williams et al. [, ] as an...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics