Complications Related to Linear Staplers

  • Gregory A. Joice
  • Mohammad E. Allaf


Linear staplers have become a critical element in the surgical armamentarium of the robotic urologic surgeon and are routinely used to ligate large vessels and resect bowel segments. The most commonly used stapler is the endovascular gastrointestinal anastomosis (GIA) stapler. Specifically, these staplers are used to control the renal hilar vessels during robotic-assisted laparoscopic radical nephrectomy (RALRN) and the dorsal venous complex (DVC) during robotic-assisted laparoscopic radical prostatectomy (RALRP). As robotic-assisted laparoscopic radical cystectomy (RALRC) gains popularity and intracorporeal diversions are performed, stapled bowel anastomoses present their own set of unique complications. In general, these staplers function well and provide excellent vascular control, but complications may occur, and their consequences can vary from minor to life-threatening sequelae.


Linear stapler Medical staples Surgical stapling Stapler malfunction Stapler misfires Surgical stapling techniques MAUDE database 



Dorsal venous complex


Food and Drug Administration


Gastrointestinal anastomosis


Inferior vena cava


Manufacturer and User Facility Device Experience


Muscle-invasive bladder cancer


Robotic-assisted laparoscopic radical cystectomy


Robotic-assisted laparoscopic radical nephrectomy


Robotic-assisted laparoscopic radical prostatectomy


Radical retropubic prostatectomy


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.The James Buchanan Brady Urological Institute and Department of UrologyJohns Hopkins Hospital, University School of MedicineBaltimoreUSA

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