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Stapling technology was developed in the Soviet Union in the 1980s, but it was not until 1990 that it arrived in the USA due to the impact of laparoscopic procedures and all the challenges involved in improving minimally invasive surgery. Nowadays, technology has advanced and it is always improving and innovating, with motorized firing and reducing tissue movement.
Dr. Northup says that residents must know their devices very well, and he mentions that the best device from his point of view is the Powered Echelon Flex Stapler. Also, it is important to highlight the Powered Circular Stapler, which reduces leaks at the staple line without compromising perfusion.
it should be borne in mind that tissue moves laterally and longitudinally during stapling, sometimes resulting in malformed staples and staple line disruptions. The most common area of discussion is perfusion and hemostasis, which depend on cartridge selection and pre-fire compression. In fact, residents should be aware of the importance and the different options for the selection of cartridges and parts such as GST Technology.
During tissue compression, tissue movement can negatively affect staple performance. Furthermore, tissue flow can affect the stapler’s ability to deliver targeted tissue transections and staple formations.
The future of stapling is titanium staplers and absorbable staplers. Moreover, feedback stapling provides information when compressing tissue
