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Our connection procedure for an EEA™ XL stapler and anvil head using EEA OrVil™ for laparoscopic total or proximal gastrectomy
Author(s) -
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
Publication year - 2018
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12446
Subject(s) - medicine , surgery , forceps , ureteroscope , abdomen , gastrectomy , anatomy , cancer
Abstract 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.