UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 腸切除の手技bowel resection techniques [show details]
…determine the largest size of stapler that the patient anatomy will accommodate. Once an appropriately sized circular stapler has been selected, the anvil of the stapler is introduced into the proximal …
2. 左結腸切除：開腹術left colectomy open technique [show details]
…anvil of the circular stapler into the lumen. Secure the pursestring around the shaft. Staple the upper rectum transversely with a linear stapler. Insert the trocar of the circular stapler transanally …
3. 右および拡大右結腸切除：開放術right and extended right colectomy open technique [show details]
…cutting stapler . The specimen is divided after the ileum and colon are stapled together to form the anastomosis. An ileocolic anastomosis can also be performed with the use of a circular stapler. These …
4. 腹腔鏡下ルーワイ胃バイパス術laparoscopic roux en y gastric bypass [show details]
…trocar sites to accommodate the circular stapler, which is 25 mm in diameter. The hand-sewn technique is similar to the linear-stapled technique, except that no stapler is used. A posterior row of sutures …
5. 胃癌への腹腔鏡下胃切除術laparoscopic gastrectomy for cancer [show details]
…allow insertion of the stapler handle. After the spike of the stapler is driven through the jejunal bowel wall, it is connected with the anvil and the stapler fired to create a circular anastomosis …

English Journal

Systematic Review and Meta-analysis of Circular- and Linear-Stapled Gastro-jejunostomy in Laparoscopic Roux-en-Y Gastric Bypass.

, E E, D D, D D, h h, .
Obesity surgery. 2019 Jun;29(6)1946-1953.
To compare circular stapler (CS) with linear stapler (LS) in a meta-analysis concerning operative time, anastomotic leaks, wound infections, strictures, and length of stay. Pubmed, Medline, and Scopus were searched for articles published since 2006. Four hundred and five articles were assessed, and
PMID 30864104

Hemi-double stapling technique performed with a transorally inserted anvil for esophagojejunostomy in the surgical treatment of gastric cancer.

Ishibashi Y, Oka S, Kanda S, Yube Y, Kohira Y, Kaji S, Egawa H, Jianzhong W, Zhang S, Fukunaga T.
Asian journal of endoscopic surgery. 2019 May;().
A transorally inserted anvil has been developed to facilitate the creation of a stapled anastomosis without the need for a purse string to secure the anvil into place during laparoscopic total gastrectomy (LTG). We describe a hemi-double stapling technique and application of a transorally inserted a
PMID 31099183

Side-to-Side Anastomosis In Left Hemicolectomy, Why and When: A Single-Center Experience.

Macina S, Imperatore M, Feleppa C, Sucameli F, Talamo G, Falco E, Berti S.
Surgical technology international. 2019 May;34()183-186.
Laparoscopic colectomy represents a safe, effective and well-established procedure for both benign and malignant colic disease. Transanal anastomosis (TA) with a circular stapler is the most commonly performed anastomotic technique in laparoscopic left hemicolectomy (LLH). We report our experience w
PMID 30574685

Japanese Journal

内視鏡的バルーン拡張術で治癒したY脚吻合部狭窄による輸入脚症候群の1例

永田祐貴,大迫政彦,下川原尚人,田畑峯雄,石崎直樹
日本臨床外科学会雑誌 79(8), 1668-1672, 2018
… 症例は66歳の男性で，胃癌に対して胃全摘術（Y脚吻合はCircular stapler 21mmによる側側吻合）を施行した．手術後7カ月目に食事のつかえ感がありCTを施行したところ輸入脚の拡張を認め，Y脚吻合部狭窄による輸入脚症候群と診断した．上部消化管内視鏡検査で吻合部は同定できなかった．血液検査で異常を認めなかったため待機治療可能と判断し，後日シングルバルーン内視鏡検査を施行した．狭窄部 …
NAID 130007605316

Anastomotic complications after laparoscopic total gastrectomy with esophagojejunostomy constructed by circular stapler (OrVil(TM)) versus linear stapler (overlap method)

Kawamura Hideki,Ohno Yosuke,Ichikawa Nobuki,Yoshida Tadashi,Homma Shigenori,Takahashi Masahiro,Taketomi Akinobu
Surgical endoscopy 31(12), 5175-5182, 2017-12
… We have performed LTG since 2004 either with a circular stapler using an OrVil(TM) anvil or via the overlap Orringer method with a linear stapler. … Patients were divided into those who underwent esophagojejunostomy performed via a circular stapler using an OrVil(TM) anvil (group C, n = 49) or via the overlap method (group L, n = 139). …
NAID 120006540051