HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Dominique Gossot Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Gossot, D. Articles by Nana, A. Search for Related Content PubMed PubMed Citation Articles by Gossot, D. Articles by Nana, A. Related Collections Lung - other

Ann Thorac Surg 2005;80:1898-1901
© 2005 The Society of Thoracic Surgeons

---

New technology

Computer-Controlled Stapling System for Lung Surgery

Thoracic Department, Institut Mutualiste Montsouris, Paris, France

Accepted for publication February 3, 2005.

^_* Address correspondence to Dr Gossot, Institut Mutualiste Montsouris, Thoracic Department, 42 Blvd Jourdan, Paris, F-75014 France (Email: dominique.gossot{at}imm.fr).

PURPOSE: Current disposable hand-actuated staplers may pose reliability problems, especially with respect to the measurement of tissue thickness. We have evaluated a newly developed stapler with a computer-controlled placement of staples.

DESCRIPTION: The SurgAssist system (Power Medical Interventions, New Hope, PA) is comprised of a console that houses a computer, a remote control unit, a flexible shaft, and a cartridge. The remote control unit has two uses: (1) controlling the accurate placement of the cartridge by orientating the tip of the flexible shaft, and (2) controlling the closure of the stapler and the firing. Each cartridge contains a programmed electronic device that triggers the activation of the appropriate program in the main microprocessor. The compression level on the tissue is determined by the computer.

EVALUATION: The system was used in a consecutive series of 38 patients, 26 times during open lung surgery and 12 times during video-assisted thoracic surgery. The following open procedures were performed: three pneumonectomies, 15 lobectomies, three segmentectomies, and five wedge resections. The following video-assisted thoracic surgery procedures were performed: eight wedge resections and four bullectomies for pneumothorax. There was no stapling failure and no complication related to the use of the stapler. During video-assisted thoracic surgery, some ergonomic problems were encountered that will be overcome by redesign.

CONCLUSIONS: The computer-controlled stapling system may significantly improve tissue approximation during open and video-assisted thoracic surgery.

This article has been cited by other articles:

				M. Takata, G. Watanabe, H. Ohtake, T. Ushijima, S. Yamaguchi, Y. Kikuchi, and Y. Yamamoto Automatic aortic anastomosis with an innovative computer-controlled circular stapler for surgical treatment of aortic aneurysm J. Thorac. Cardiovasc. Surg., May 1, 2011; 141(5): 1265 - 1269. [Abstract] [Full Text] [PDF]

				C. Komanapalli and M. S. Sukumar Computer assisted surgical stapling MMCTS, January 1, 2008; 2008(1110): mmcts.2008.003145 - mmcts.2008.003145. [Abstract] [Full Text] [PDF]

				R. F. Heitmiller Invited commentary Ann. Thorac. Surg., November 1, 2005; 80(5): 1902 - 1902. [Full Text] [PDF]