Laparoscopic Stapler
Laparoscopic Stapler - Related Videos
03:45
Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
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Cited by 1 •
2010
This video describes a right hemihepatectomy with intrahepatic transection of the right hemipedicle leaving the hepatoduodenal ligament completely untouched.
05:30
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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2025
Laparoscopic radical gastrectomy for remnant gastric cancer has been increasingly adopted as a minimally invasive surgical approach in recent years. This article proposes a detailed operating procedure, aiming to provide practical technical guidance for surgeons and promote the broader adoption of laparoscopic surgery in managing remnant gastric cancer.
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
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2025
To evaluate the clinical benefits of laparoscopic right hemihepatectomy via the in situ anterior approach, emphasizing its advantages in minimizing tumor dissemination risks, reducing bleeding, and enhancing surgical safety, particularly for complex liver tumors.
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
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Cited by 12 •
2016
In early gastric cancer, the aim of surgery is to precisely remove the distal stomach including the primary tumor. To do this, accurate localization of the tumor is crucial, especially in totally laparoscopic surgery. This protocol describes a procedure for intraoperative gastroscopy in totally laparoscopic subtotal gastrectomy.
05:22
Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
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2026
The protocol presents a step-by-step laparoscopic protocol for radical resection of Bismuth-Corlette type IIIb perihilar cholangiocarcinoma. The procedure integrates preoperative PTCD, complex vascular dissection and repair, and biliary reconstruction for application in high-volume hepatobiliary centers.
FAQs
The instrument must be applied to tissue that can be appropriately aligned and compressed within its jaws. Incorrect tissue selection or positioning can compromise the staple line, reducing its ability to control bleeding or limit leakage. Careful alignment therefore supports reliable closure and helps maintain safety during transection or reconstruction in minimally invasive abdominal surgery.
Compression brings the tissue into a controlled position before the staples and blade are deployed. The blade then divides tissue between the staple rows, leaving closure on both sides of the cut. This coordinated sequence allows the device to transect tissue while maintaining separate staple lines, supporting hemostasis and reducing the need for additional intracorporeal suturing.
A laparoscopic stapler provides standardized rows of staples during a single instrument-mediated closure and division step. By contrast, intracorporeal suturing requires the surgeon to create the closure manually within the body. The stapler can therefore improve operative efficiency in suitable situations, while still requiring deliberate tissue selection, positioning, and assessment of the completed staple line.
Standardized staple placement does not eliminate the need to evaluate the completed line. Assessment helps address the two principal concerns highlighted for these procedures: bleeding control and leakage prevention. The surgeon must consider whether the tissue was correctly selected and positioned and whether the resulting closure appears adequate before proceeding with the operation.
A typical workflow introduces the instrument through a trocar, places the target tissue between its jaws, and aligns the tissue before compression. The device is then fired so staples are deployed while the blade divides between their rows. Afterward, the resulting staple line requires assessment, particularly for adequate closure, bleeding control, and limitation of leakage.
Applications described for laparoscopic staplers include bowel resection, bariatric surgery, and operations involving the lung or stomach. Depending on the procedure, the instrument may help transect tissue or contribute to creating an anastomosis, meaning a joined connection between structures. These uses make the device relevant across several minimally invasive surgical settings rather than one single operation.
The technique supports tissue transection, closure, and reconstruction through small abdominal incisions. Its rows of staples can help control bleeding and limit leakage, while its standardized action may reduce the need for intracorporeal suturing and improve operative efficiency. These benefits depend on matching the device to appropriate tissue and verifying the staple line after deployment.