@article{JXYM3895,
author = {Ziyu Li and Rulin Miao},
title = {Usage of linear stapler in laparoscopic gastrectomy in gastric cancer patients},
journal = {Journal of Xiangya Medicine},
volume = {2},
number = {4},
year = {2017},
keywords = {},
abstract = {In 1994, Kitano et al. first reported the usage of laparoscopic surgery in the treatment of gastric cancer (1). Since then, laparoscopic surgery has been applied in more and more patients and has become an important method of surgery for gastric cancer, especially in East Asia. At first, most of the laparoscopic surgeries for gastric cancer were completed in the way of “laparoscopic-assistant” method, which need a small assistant incision to complete the reconstruction procedures. The advantage of “laparoscopic-assistant” method is that surgeons can perform the reconstruction procedures in the way they are more familiar in open surgery and is easier to master. However, with the development of the laparoscopic techniques, total laparoscopic surgery has become a hot research area (2). For total laparoscopic surgery, reconstruction needs to be performed intracorporeally and this limits the usage of circular stapler which is widely used in open and laparoscopic-assistant surgery. Many techniques have been developed to facilitate the usage of circular stapler in total laparoscopic surgery such as reverse puncture method and trans-oral anvil delivery system (EEATM OrVilTM), but all these techniques are too complicated to be generalized (3). The usage of linear stapler facilitates the development of total laparoscopic surgery. Compared to circular stapler, linear stapler can be inserted into the peritoneal cavity through trocars without assistant incision and the arms of linear stapler can be put into the digestive tract easily which makes it easier to be operated (4). Meanwhile, the procedures with linear stapler have little influence on pneumoperitoneal pressure.},
issn = {2519-9390}, url = {https://jxym.amegroups.org/article/view/3895}
}