These bigger stapleless staplers can secure up to 6 or up to 8 sheets.”

STUDY FACTORS: The subjects were allocated into two groups according to the type of anastomosis, hand sewn and stapler. The allocation to the groups was at random decided by affordability of stapler by the patient and need for use of stapler.

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The patients were divided into 2 groups based on the use of Endo GIA stapler (Covidien Endo GIA Universal Articulating Loading Unit 30 mm 2.5 mm) or Hem-o-lok polymer clips (Weck Hem-o-lok Polymer Ligating Clips) for renal pedicle control.

Patients were allocated into hand-sewn group and stapler group alternatively.

The first report of use of circular stapler for Billroth I reconstruction following distal gastrectomy was by Nance et al.

Creation of the GJ is commonly completed using a circular stapler with transoral passage of the anvil [6].

Key words: Stapled sutures; EEA stapler; hand-sewn technique; end-to-end anastomosis; dogs.

"We look forward to introducing this surgical stapler in a limited launch to key opinion leaders throughout the United States, including those surgeons performing video-assisted thoracic surgery at the annual meeting of the Society of Thoracic Surgeons in Phoenix, Ariz., and pediatric surgeons at the American Pediatric Surgical Association annual meeting in San Diego in May 2016.

The circular stapler, a new disposable circumcision device, has been developed for commercial use in China (Henry Medical Device Company, Figure 1).

The Ethicon TX60B proximate linear stapler was then inserted beneath the larynx (Figure 2,3).