Surgical Staplers used in VATS

Surgical Staplers used in VATS

Posted in the Thoracic Surgery Forum

Surgical Specialist

Miami Beach, FL

#1 Jun 8, 2007
Hi I have a question for all Thoracic Surgeons out there. I'm curious on your feedback regarding surgical staplers.

Do you prefer one over another? Specifically when performing a VATS wedge resection or lobectomy? What is it you are looking for when using a surgical stapler? Do you prefer the Endo GIA from Autosuture or the Ethicon stapler?

Does it matter? Any experiences or feedback would be greatly appreciated. Trying to get an understanding of what is important to the Thoracic surgeon or what is going through their minds regarding these staplers.

Thanks!
jjones

Raritan, NJ

#2 Aug 3, 2007
Surgical Specialist wrote:
Hi I have a question for all Thoracic Surgeons out there. I'm curious on your feedback regarding surgical staplers.
Do you prefer one over another? Specifically when performing a VATS wedge resection or lobectomy? What is it you are looking for when using a surgical stapler? Do you prefer the Endo GIA from Autosuture or the Ethicon stapler?
Does it matter? Any experiences or feedback would be greatly appreciated. Trying to get an understanding of what is important to the Thoracic surgeon or what is going through their minds regarding these staplers.
Thanks!
Thick tissue cases I prefer Ethicon staplers hands down. Compression key here and ability to grasp and manipulateT the tissue before firing is important.
Mohamad Abdel Jaber

UAE

#3 Apr 7, 2008
Well.. i prefere Autosuture EGIA Universal, 1st coz u have a wide range of 20 cartridges, 10 roticulator and 10 straight, which u can use on the same handle up to 25 times. add to this the staple line is much better within the EGIA, roticulating is great option in EGIA and easier to use, and i never had a problem with EGIA while i had problems with ethicon. If u talkin about open surgery and TA or GIA i also prefere Autosuture.. its just feel better, and u can inspect the staple line and u will see the difference add to this that Ethicon cartidges are messed up, for example the 4.8 cartridge is always green while ethicon made a green cartridge which is 4 mm not 4.8 and thats why 4.8 green EGIA loading unit has to be used with a 15 mm trocar !

what do u think ?
DR K

Milford, CT

#4 Aug 19, 2008
I have worked with staplers from both US Surgical-now called Covidien- and also Ethicon. The Endo GIA from Covidien is superior by far. I have a busy Thoracic practice at a major academic institution which is on contract with Ethicon. I perform approximately 6 VATS procedures weekly and utilize the following EndoGIA loads: 45-4.8 rotic, 60-4.8 rotic, 45-2.0 rotic. The EGIA stapler provides articulation at a very narrow angle with a new knife each time, as well as a highly superior suture line once fired. The Echelon or EZ45 doesn't even compare. This opinion is shared by the general surgery team as well. With stated, we have requested that the hospital convert to Covidien asap. This is based purely on clinical outcomes- not rep influence. The Covidien reps have very little access here due to tough guidelines.
missy

Martinsburg, WV

#5 Jan 7, 2009
Can you staple a rectum shut from the inside using a Ethicon stapler?
Dr W1 NY

Hillsborough, NJ

#6 Mar 9, 2009
How can say Covidien staplers are superior to Ethicon? Have you ever read the Science of Stapling. Its very clear that because tissue is biphasic you need proper compression. Ethicons stapler has a precision machined anvil allowing a uniform, consistent staple line everytime while Covidiens is made of stamped steel which easily deflects especially on thick tissue. Your either not really putting these staplers to the test correctly or your Covidien reps misleading the surgical community which knows better. Get real!
Curious

Ardmore, PA

#7 Jun 26, 2009
Has any one heard of Power Medical Intervetions, they have computer controlled staplers
erabra

Neve Ilan, Israel

#8 Nov 8, 2009
dose any one have an idea about the number of VATS lobectomies that are done in the US per year?
FTac

Rome, Italy

#9 Nov 16, 2009
I don't have any idea of Covidien staples, since i did never use one. I don't know if they are available in my country.
Usually, i prefer Ethicon staples with blue cartridges for peripheral lung resections. Anyway, i aknowledge that a daily familiarity with a device may contribute to increase the subjective perception of safety, which could not be absolutely real.
Toushstone Staplers

Suzhou, China

#12 Dec 16, 2010
Does anyone know Touchstone staplers?
Tom Alch

Fort Worth, TX

#13 Jul 10, 2011
Has anyone had problems during nephrectomies or other procedures where the Endo Gia fails to crimp the staple, or in fact, cuts?
Amrin

Menominee, MI

#14 Aug 24, 2011
My friend Kim loves the Endo Gia. If anyone has one for sale I want to buy her one for Christmas.
Kim

Galveston, TX

#15 Aug 24, 2011
Being a medical transcriptionist, honestly quite mundane and boring, or frustrating on an epic scale. The EndoGIA is one of those things that just makes me smile. Don't judge me!...and a footnote for any doctors out there. No matter how many words you try to string together in a single breath..Have a nice day, thank you, or anything of that sort does make us smile and makes us feel far less like smacking you upside the head.
Oz Surgical Consultant

Peakhurst, Australia

#16 Sep 25, 2011
Yes, have heard of Touchstone Surgical Staplers. Appear to be the best staplers being made in China. They have developed far more advanced designs with open staplers. Have produced the best Haemorrhoid stapler to date, called a TST. The Italians are raving over it, closest thin to the Milligan-Morgan gold standard, but without the post-op pain, bleeding & management. Both Covidien & Ethicon spend lots of money in marketing to tell all surgeons they have the best devices. There are pros & cons for them all, but look outside the square, Touchstone are the up & coming future in surgical stapling. Everyone is clambering for MIS & lap suregry, but there are still a lot of patietns that can not be operated on laparoscopically. Touchstone makes safer & higher quality open staplers then Ethicon & Covidien. Mark my words!!
Changzhou Haiers Medical

Changzhou, China

#17 Nov 29, 2011
Changzhou Haiers Medical in China also provide good surgical staplers with competitive price!
Tom Malony

Geneve, Switzerland

#18 Jan 6, 2012
Oz Surgical Consultant wrote:
Yes, have heard of Touchstone Surgical Staplers. Appear to be the best staplers being made in China. They have developed far more advanced designs with open staplers. Have produced the best Haemorrhoid stapler to date, called a TST. The Italians are raving over it, closest thin to the Milligan-Morgan gold standard, but without the post-op pain, bleeding & management. Both Covidien & Ethicon spend lots of money in marketing to tell all surgeons they have the best devices. There are pros & cons for them all, but look outside the square, Touchstone are the up & coming future in surgical stapling. Everyone is clambering for MIS & lap suregry, but there are still a lot of patietns that can not be operated on laparoscopically. Touchstone makes safer & higher quality open staplers then Ethicon & Covidien. Mark my words!!
I assume that you must work for this company. There are some reports from Europe, that this product got some serious quality problems. Some staplers where not loaded with staplers and therefore the divices cut but do not perform a staple line. Hence open anastomosis!!
We warn here to make any experiments!
Mathew Brandon

Amsterdam, Netherlands

#19 Sep 27, 2013
Toushstone Staplers wrote:
Does anyone know Touchstone staplers?
Obviousely a chinese company with copy of Ethicon stapler. There are several comments on forums that they have some serious qualtiy problems. In out clinic we would never take the risk to use such products! Stay with products you know they are save!
A Khanna

Hyderabad, India

#20 Jun 4, 2014
How many times a resuable powered sugical stapler can be used before being used? Also, are there any disposable powered surgical staplers being used in United States. In India, they have either phased out or out of use. Is it true for US?

Tell me when this thread is updated:

Subscribe Now Add to my Tracker

Add your comments below

Characters left: 4000

Please note by submitting this form you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

Thoracic Surgery Discussions

Title Updated Last By Comments
Thoracic Back Surgery One Year Later (May '06) Apr '16 Acountryboynky 53
News Toronto: Robotic surgery treats early stage lun... (Mar '12) Dec '15 Suzie 7
North American Spine hospital-Texas (Sep '15) Sep '15 scoupie 1
Solid pleural leiaon/nodule? (May '15) Sep '15 MRHogan 2
thoracic (Apr '14) Nov '14 strongjohn55 2
News Pittsburgh man comes to Erie to treat sunken chest (Sep '13) Sep '13 Bill Mazerowski 6
News Robotic surgery at AGH offers patients with lun... (Mar '13) Mar '13 Therese Bynes 1
More from around the web