July 1988

Principles and Practice of Surgical Stapling

Author Affiliations



by Mark M. Ravitch and Felicien Steichen, 537 pp, Chicago, Year Book Medical Publishers Inc, 1987.

Arch Surg. 1988;123(7):915. doi:10.1001/archsurg.1988.01400310129032

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This volume includes the contributions of almost 40 participants in the 1986 International Symposium on Stapling in Surgery held at the University of Pittsburgh. The 27 chapters cover the use (and misuse) of staples in esophageal, gastric, colorectal, and thoracic surgery.

Dr Ravitch begins the text with a typically entertaining and informative overview of the history of surgical stapling. A section on the healing of stapled gastrointestinal anastomoses is included.

Dr Steichen then presents a valuable and complete discussion on the technique of sequential gastrointestinal anastomosis and resection. This technique involves the single application of a staple both to resect the specimen and to close the staple hole from the anastomosis at the same time. Although the method decreases operative time and minimizes the number of staples used, it requires additional care on the part of the surgeon lest the anastomosis be made too narrow.

Subsequent chapters deal with esophageal

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