title: Dilation of the stump of the esophagus and intestine with Doyen's intestinal clamp followed by application of lidocaine facilitates the stapling anastomoses.
abstract: To avoid bowel tears on the esophagojejunal or colorectal mechanical anastomoses during insertion of the EEA stapler, we applied a local anesthetic to the stump of the bowel, then gently dilated the bowel with Doyen's intestinal clamp. This approach makes way for use of a larger cartridge and a more satisfactory anastomoses.
authors.affiliation: 2nd Department of Surgery, School of Medicine, Fukuoka University, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Kumashiro
authors.forename: H
authors.initials: H
authors.lastname: Kamachi
authors.forename: T
authors.initials: T
authors.lastname: Maekawa
authors.forename: R
authors.initials: R
authors.lastname: Sakaida
authors.forename: S
authors.initials: S
authors.lastname: Inutsuka
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D000772:Anesthesia, Local; D004106:Dilatation / Q000295:instrumentation / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008012:Lidocaine; D013525:Surgical Instruments; D013528:Surgical Staplers
chemical_list: D008012:Lidocaine