title: Proximal anastomosis using the OrVil circular stapler in major upper gastrointestinal surgery.
abstract: Anastomoses in major upper gastrointestinal surgery can be technically demanding, especially handsewn anastomoses traversing the diaphragmatic hiatus. The OrVil stapler is a unique circular stapler that allows rapid creation of various upper gastrointestinal anastomoses in technically challenging circumstances, particularly if additional proximal clearance is desirable. Little is reported in the literature regarding its outcomes and complication rates. In this 'How I do It' article, we describe our technique and experience with the OrVil in major upper gastrointestinal surgery.
authors.affiliation: Discipline of Surgery, University of Adelaide, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Knight
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Rice
authors.forename: Peter G
authors.initials: PG
authors.lastname: Devitt
authors.forename: Andrew
authors.initials: A
authors.lastname: Lord
authors.forename: Philip A
authors.initials: PA
authors.lastname: Game
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Thompson
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D057868:Anastomotic Leak / Q000517:prevention & control*; D001315:Australia; D015331:Cohort Studies; D016208:Databases, Factual; D004867:Equipment Design; D004869:Equipment Safety; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery; D004945:Esophagoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery; D013528:Surgical Staplers / Q000706:statistics & numerical data*; D013718:Tensile Strength