Stapler access and visibility in the deep pelvis: A comparative ...

Despite recent advances in surgical stapling technology, the development of the ideal stapling device for the distal rectum has been slow. The bony confines of the pelvis, especially android pelvises, cause impediments to visibility and access in the distal rectum. The challenges are more pronounced if the dissected rectum is fatty and bulky, and in the presence of a large rectal tumor. Previous studies have revealed that the male gender, shorter distance of the tumor from the anal verge, and narrower pelvic dimensions are associated with longer operative times and worse outcomes in rectal surgery, including anastomotic leak and positive tumor margins [10&#;13].

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An ideal rectal stapler should be easily advanced to the pelvic floor, have excellent ability to hold tissue, accept a wide range of tissue thickness, seal and divide the rectum reliably and safely, and occlude both the proximal and distal ends of the cut bowel. The challenge in designing such a stapler is that a low-profile stapler may have difficulty incorporating the entire rectum within its jaws, or may require several applications resulting in intersecting staple lines susceptible to ischemia. The rectal transection should ideally be perpendicular to the pelvic floor, but to design a stapler that deflects nearly 90 degrees limits its jaw strength and the deployment of a cutting knife.

In this cadaver study, we compared two stapling devices for the rectum that have similar mechanisms in that they have the ability to occlude both ends of the staple line. This is accomplished by the placement of four rows of staples, with a cutting knife in between the second and third rows. This improves on the traditional method of distal rectal division that involves occluding the bowel distal to the tumor with an atraumatic clamp (to limit spillage of stool and liberated tumor cells), stapling the rectum distal to the clamp, and using a long-handled knife deep in the pelvis to divide the bowel under restricted visual access.

We found that the RALC, compared to the CC, could be placed deeper in the pelvis, has improved visualization, is obstructed less by surrounding tissues, and has pelvic access that was superior (rated "excellent" in 38/48 [79%] as opposed to 18/48 [38%] for the CC). This is likely explained by the smaller profile of the RALC 45-mm single-use load and the perpendicular orientation of the jaws in relation to the shaft of the handle. The RALC Single Use Reload's dimensions are 14.6 mm in width, 40.1 mm in height (closed), and 66.5 mm in length, compared with the CC's dimensions of 25.4 mm in width, 95.0 mm in height (closed), and 62.2 mm in length. We also found that the RALC had excellent and equal access to the deep pelvis whether placed coronally or sagittally, but that the CC was best used coronally. The sagittal placement of the CC resulted in poorer ratings for pelvic access compared with its coronal application. In addition, the CC placed in a sagittal configuration clamped the rectum 1.3 cm more proximally than coronally (3.3 versus 2.0 cm from the pelvic floor).

By performing anatomic measurements in the pelvis, we hoped to evaluate what anatomic factor posed the greatest limitation to distal rectal stapling. A prior study by Gu, et al. that utilized magnetic resonance (MR) pelvimetry in rectal cancer surgery demonstrated that failure of a sphincter-preserving procedure was predicted by a shorter distance from the upper pubic bone to the sacrococcyx, longer distance of the sacrococcyx, and excessive curvature of the sacrum [14]. Another study correlating MR pelvimetry with difficulty of a laparoscopic proctectomy found that a large sagittal pelvic outlet coupled with a narrow transverse intertuberous distance predicted longer operative time [12]. In our current cadaver study, we found that the stapler distance from the pelvic floor was influenced significantly by the distance between the symphysis pubis and the tip of the coccyx. This anterior-posterior restriction of the pelvic outlet seemed to pose more difficulty than any anatomic measurement in the transverse direction or at the pelvic inlet. This knowledge, we hope, could help in the development of improved stapling devices in the future.

There are limitations of this study. First, there is contraction of the mesorectum in a cadaver compared to a live body, and this simplifies placement of the stapling device both around the rectum and into the pelvis. How these stapling devices would perform in the setting of a bulky mesorectum or large rectal tumor remains unanswered by this study. It is possible that the improved access in the deep pelvis with the RALC would be magnified in live surgery; however, it is also possible that the advantages seen in a cadaver model with the RALC will no longer be appreciated in a more technically difficult setting. Secondly, this study only investigated pelvic access and reach. The devices were clamped onto the distal rectum but not fired in order to maximize the number of applications per cadaver. Thus, one critical aspect of stapler performance-how the devices stapled-could not be assessed. Thirdly, investigator bias could not be eliminated, as it was impossible to blind the surgeon to the technique. Furthermore, this research project was funded by one company and not the other, and the participating surgeons received honoraria for their time. Lastly, it would have been interesting to study the influence of body mass index (BMI) on staple placement. This analysis was not performed, however, since the range of the cadavers' BMI (measured by the supplying company) was narrow; the median BMI (and range) of the cadavers was 24.7 (23.7-25.8) kg/m2.

Our latest Analysis on the global "Endoscopic Linear Cutter Stapler Market" for reveals a consistent and robust upward trajectory in recent years, a trend expected to persist favorably until . The report offers a comprehensive analysis of the industry, encompassing crucial elements such as market size, key players, regional dynamics, and growth trends. It delves into various types (60mm, 160mm, 260mm, Other) , applications across sectors like(General Surgery, Obstetrics and Gynecology, Urology, Thoracic Surgery, Pediatric Surgery), and regional market insights covering North America, Europe, Asia-Pacific, South America, and The Middle East and Africa.

Notable market leaders include- B. Braun, Volkmann MedizinTechnik, Victor Medical Instruments, Beijing Biosis Healing Biological Technology, Merillife, Lotus Surgicals, Purple Surgical, Frankenman, Benzgum Medical, Surgnova. The anticipated annual growth of the Endoscopic Linear Cutter Stapler Market from to is poised to be remarkable, exhibiting a magnificent Compound Annual Growth Rate (CAGR).

A detailed analysis of the Endoscopic Linear Cutter Stapler market unveils insights into its five major facets: size, share, scope, growth, and industry potential. This information serves as a valuable resource for businesses to pinpoint opportunities and assess potential risks within the market. The comprehensive report spans 107 pages, ensuring an in-depth examination of the subject matter.

Besides, the study maps the leading as well as the fastest-growing regional markets. It further enables stakeholders to identify the key country-level markets within each region.

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Report Uncovers following Endoscopic Linear Cutter Stapler Companies or Manufacturer for Global Market:

• B. Braun
• Volkmann MedizinTechnik
• Victor Medical Instruments
• Beijing Biosis Healing Biological Technology
• Merillife
• Lotus Surgicals
• Purple Surgical
• Frankenman
• Benzgum Medical
• Surgnova

Brief Description of Endoscopic Linear Cutter Stapler Market:

Global Endoscopic Linear Cutter Stapler Market size was valued at USD Million in and is expected to reach multimillion-dollar in , growing an unforeseen Compound Annual Growth Rate (CAGR) between to .

As a crucial part of the Endoscopic Linear Cutter Stapler market, we provide competitive landscape analysis which incorporates the market ranking of the major players, along with new service/product launches, business expansions, acquisitions, and performance in the past five years. That allows stakeholders to understand their competitive environment and provides insight into the current positions of key players in the market. The readers of this report will understand how the Endoscopic Linear Cutter Stapler market status has changed across the globe under the Russia-Ukraine War and inflation. Get a Sample PDF of report at- https://www.marketreportsworld.com/enquiry/request-sample/

What product categories dominated the market share in the Endoscopic Linear Cutter Stapler industry?

• 60mm
• 160mm
• 260mm
• Other

What are the primary applications within the Endoscopic Linear Cutter Stapler market?

• General Surgery
• Obstetrics and Gynecology
• Urology
• Thoracic Surgery
• Pediatric Surgery

What are the driving factors for the growth of the Endoscopic Linear Cutter Stapler Market?

Type and Category of the Product: The market's categorization into different types and categories of products plays a significant role in driving its growth. Certain product types or categories may experience higher demand, leading to market expansion.

Market Growth: The overall growth of the market, both in terms of value and volume, is a key driving factor. A growing market typically indicates increasing demand and opportunities for businesses.

Compound Annual Growth Rate (CAGR): The calculation and assessment of CAGR are essential driving factors. CAGR helps in understanding the pace at which the market is expected to grow during the projection period, influencing investment decisions.

Projection Period ( to ): The chosen time frame for projections ( to ) is a driving factor as it provides a roadmap for market analysis and strategic planning during this specific period.

Endoscopic Linear Cutter Stapler market Overview:

The Endoscopic Linear Cutter Stapler Market report combines extensive quantitative analysis and exhaustive qualitative analysis, ranges from a macro overview of the total market size, industry chain, and market dynamics to micro details of segment markets by type, application and region, and, as a result, provides a holistic view of, as well as a deep insight into the Endoscopic Linear Cutter Stapler market covering all its essential aspects.

For the competitive landscape, the report also introduces players in the industry from the perspective of the market share, concentration ratio, etc., and describes the leading companies in detail, with which the readers can get a better idea of their competitors and acquire an in-depth understanding of the competitive situation. Further, mergers & acquisitions, emerging market trends, the impact of COVID-19, and regional conflicts will all be considered.

Global Endoscopic Linear Cutter Stapler Market: Drivers and Restrains

The research report has incorporated the analysis of different factors that augment the market&#;s growth. It constitutes trends, restraints, and drivers that transform the market in either a positive or negative manner. This section also provides the scope of different segments and applications that can potentially influence the market in the future. The detailed information is based on current trends and historic milestones. This section also provides an analysis of the volume of production about the global market and about each type from to . This section mentions the volume of production by region from to . Pricing analysis is included in the report according to each type from the year to , manufacturer from to , region from to , and global price from to .

A thorough evaluation of the restrains included in the report portrays the contrast to drivers and gives room for strategic planning. Factors that overshadow the market growth are pivotal as they can be understood to devise different bends for getting hold of the lucrative opportunities that are present in the ever-growing market. Additionally, insights into market expert&#;s opinions have been taken to understand the market better.

How have the COVID-19 pandemic and the Russia-Ukraine War affected the Endoscopic Linear Cutter Stapler Market?

The confluence of two significant global events, namely the COVID-19 pandemic and the Russia-Ukraine war, has left a lasting impact on the Endoscopic Linear Cutter Stapler market landscape. These unprecedented events have introduced a complex set of dynamics that have reshaped the trajectory of this market in unexpected ways.

The onset of the COVID-19 pandemic brought about seismic shifts in consumer behavior and business operations. Lockdowns, travel restrictions, and remote work became the new normal, prompting businesses to pivot their strategies towards digital platforms. This abrupt shift amplified the reliance on online presence and visibility, driving a surge in the demand for effective Endoscopic Linear Cutter Stapler utilization. As companies scrambled to enhance their online reach, the Endoscopic Linear Cutter Stapler market experienced a notable upswing, as businesses sought to optimize their content for greater online visibility and engagement.

Simultaneously, the Russia-Ukraine war injected an additional layer of uncertainty and volatility into the global economic landscape. Geopolitical tensions and economic sanctions generated ripple effects across various industries, influencing consumer sentiment and purchasing patterns. As businesses navigated through these geopolitical challenges, the Endoscopic Linear Cutter Stapler market responded to the evolving landscape, as brands reevaluated their marketing strategies to align with changing consumer sentiments.

The combined impact of these events has underlined the indispensability of strategic Endoscopic Linear Cutter Stapler management for businesses across sectors. Adapting to the evolving consumer preferences and the fluctuating geopolitical landscape has highlighted the need for agile and responsive Endoscopic Linear Cutter Stapler strategies. As the world grapples with the aftermath of the pandemic and ongoing geopolitical tensions, the Endoscopic Linear Cutter Stapler market continues to evolve, serving as a barometer of the broader economic and societal changes that have come to define this era.

Highlights of The Endoscopic Linear Cutter Stapler Market Report:

Key offerings from the Global Endoscopic Linear Cutter Stapler Market Report:

Market Size Estimates: Endoscopic Linear Cutter Stapler market size estimation in terms of value and sales volume from -

Market Trends and Dynamics: Endoscopic Linear Cutter Stapler market drivers, opportunities, challenges, and risks

Macro-economy and Regional Conflict: Influence of global inflation and Russia & Ukraine War on the Endoscopic Linear Cutter Stapler market

Segment Market Analysis: Endoscopic Linear Cutter Stapler market value and sales volume by type and by application from -

Regional Market Analysis: Endoscopic Linear Cutter Stapler market situations and prospects in North America, Asia Pacific, Europe, Latin America, Middle East, Africa

Country-level Studies on the Endoscopic Linear Cutter Stapler Market: Revenue and sales volume of major countries in each region

Endoscopic Linear Cutter Stapler Market Competitive Landscape and Major Players: Analysis of 10-15 leading market players, sales, price, revenue, gross, gross margin, product profile and application, etc.

Trade Flow: Import and export volume of the Endoscopic Linear Cutter Stapler market in major regions.

Endoscopic Linear Cutter Stapler Industry Value Chain: Endoscopic Linear Cutter Stapler market raw materials & suppliers, manufacturing process, distributors, downstream customers

Endoscopic Linear Cutter Stapler Industry News, Policies & Regulations

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Regional Insights: 

Geographically, the detailed analysis of consumption, revenue, market share and growth rate, historical data and forecast (-) of the following regions are covered in this report:

United States

Europe

China

Japan

India

Southeast Asia

Latin America

Middle East and Africa

Here are some frequently asked questions about Endoscopic Linear Cutter Stapler Market Report:

Q1. Does this report consider the impact of COVID-19 and the Russia-Ukraine war on the Endoscopic Linear Cutter Stapler market?

Yes. As the COVID-19 and the Russia-Ukraine war are profoundly affecting the global supply chain relationship and raw material price system, we have definitely taken them into consideration throughout the research, and in Chapters 1.7, 2.7, 4.X.1, 7.5, 8.7, we elaborate at full length on the impact of the pandemic and the war on the Endoscopic Linear Cutter Stapler Industry.

Q2. How do you determine the list of the key players included in the report?

With the aim of clearly revealing the competitive situation of the industry, we concretely analyze not only the leading enterprises that have a voice on a global scale, but also the regional small and medium-sized companies that play key roles and have plenty of potential growth.

Please find the key player list in Summary.

Q3. What are your main data sources?

Both Primary and Secondary data sources are being used while compiling the report.

Primary sources include extensive interviews of key opinion leaders and industry experts (such as experienced front-line staff, directors, CEOs, and marketing executives), downstream distributors, as well as end-users.

Secondary sources include the research of the annual and financial reports of the top companies, public files, new journals, etc. We also cooperate with some third-party databases.

Please find a more complete list of data sources in Chapters 11.2.1 & 11.2.2.

Q4. Which Endoscopic Linear Cutter Stapler companies does the report uncover for the global market?

The report uncovers several companies for the global Endoscopic Linear Cutter Stapler market like B. Braun, Volkmann MedizinTechnik, Victor Medical Instruments, Beijing Biosis Healing Biological Technology, Merillife, Lotus Surgicals, Purple Surgical, Frankenman, Benzgum Medical, Surgnova.

Q5. Can I modify the scope of the report and customize it to suit my requirements?

Yes. Customized requirements of multi-dimensional, deep-level and high-quality can help our customers precisely grasp market opportunities, effortlessly confront market challenges, properly formulate market strategies and act promptly, thus to win them sufficient time and space for market competition.

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Some Major Points from the Table of Contents:

1 Endoscopic Linear Cutter Stapler Market Overview

1.1 Product Overview and Scope of Endoscopic Linear Cutter Stapler

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1.2 Endoscopic Linear Cutter Stapler Segment by Type

1.3 Endoscopic Linear Cutter Stapler Segment by Application

1.4 Global Market Growth Prospects

1.5 Global Market Size by Region

 

2 Market Competition by Manufacturers

2.1 Global Endoscopic Linear Cutter Stapler Production Capacity Market Share by Manufacturers (-)

2.2 Global Endoscopic Linear Cutter Stapler Revenue Market Share by Manufacturers (-)

2.3 Endoscopic Linear Cutter Stapler Market Share by Company Type (Tier 1, Tier 2 and Tier 3)

2.4 Global Endoscopic Linear Cutter Stapler Average Price by Manufacturers (-)

2.5 Manufacturers Endoscopic Linear Cutter Stapler Production Sites, Area Served, Product Types

2.6 Endoscopic Linear Cutter Stapler Market Competitive Situation and Trends

 

3 Production Capacity by Region

3.1 Global Production Capacity of Endoscopic Linear Cutter Stapler Market Share by Region (-)

3.2 Global Endoscopic Linear Cutter Stapler Revenue Market Share by Region (-)

3.3 Global Endoscopic Linear Cutter Stapler Production Capacity, Revenue, Price and Gross Margin (-)

3.4 North America Endoscopic Linear Cutter Stapler Production

3.5 Europe Endoscopic Linear Cutter Stapler Production

3.6 China Endoscopic Linear Cutter Stapler Production

3.7 Japan Endoscopic Linear Cutter Stapler Production

 

4 Global Endoscopic Linear Cutter Stapler Consumption by Region

4.1 Global Endoscopic Linear Cutter Stapler Consumption by Region

4.2 North America

4.3 Europe

 

5 Segment by Type

5.1 Global Endoscopic Linear Cutter Stapler Production Market Share by Type (-)

5.2 Global Endoscopic Linear Cutter Stapler Revenue Market Share by Type (-)

5.3 Global Endoscopic Linear Cutter Stapler Price by Type (-)

 

6 Segment by Application

6.1 Global Endoscopic Linear Cutter Stapler Production Market Share by Application (-)

6.2 Global Endoscopic Linear Cutter Stapler Revenue Market Share by Application (-)

6.3 Global Endoscopic Linear Cutter Stapler Price by Application (-)

 

7 Key Companies Profiled

 

8 Endoscopic Linear Cutter Stapler Manufacturing Cost Analysis

8.1 Endoscopic Linear Cutter Stapler Key Raw Materials Analysis

8.2 Proportion of Manufacturing Cost Structure

8.3 Manufacturing Process Analysis of Endoscopic Linear Cutter Stapler

8.4 Endoscopic Linear Cutter Stapler Industrial Chain Analysis

 

9 Marketing Channel, Distributors and Customers

9.1 Marketing Channel

9.2 Endoscopic Linear Cutter Stapler Distributors List

9.3 Endoscopic Linear Cutter Stapler Customers

 

10 Market Dynamics

10.1 Endoscopic Linear Cutter Stapler Industry Trends

10.2 Endoscopic Linear Cutter Stapler Market Drivers

10.3 Endoscopic Linear Cutter Stapler Market Challenges

10.4 Endoscopic Linear Cutter Stapler Market Restraints

 

11 Production and Supply Forecast

11.1 Global Forecasted Production of Endoscopic Linear Cutter Stapler by Region (-)

11.2 North America Endoscopic Linear Cutter Stapler Production, Revenue Forecast (-)

11.3 Europe Endoscopic Linear Cutter Stapler Production, Revenue Forecast (-)

11.4 China Endoscopic Linear Cutter Stapler Production, Revenue Forecast (-)

11.5 Japan Endoscopic Linear Cutter Stapler Production, Revenue Forecast (-)

 

12 Consumption and Demand Forecast

12.1 Global Forecasted Demand Analysis of Endoscopic Linear Cutter Stapler

12.2 North America Forecasted Consumption of Endoscopic Linear Cutter Stapler by Country

12.3 Europe Market Forecasted Consumption of Endoscopic Linear Cutter Stapler by Country

12.4 Asia Pacific Market Forecasted Consumption of Endoscopic Linear Cutter Stapler by Region

12.5 Latin America Forecasted Consumption of Endoscopic Linear Cutter Stapler by Country

 

13 Forecast by Type and by Application (-)

13.1 Global Production, Revenue and Price Forecast by Type (-)

13.2 Global Forecasted Consumption of Endoscopic Linear Cutter Stapler by Application (-)

 

14 Research Finding and Conclusion

 

15 Methodology and Data Source

15.1 Methodology/Research Approach

15.2 Data Source

15.3 Author List

15.4 Disclaimer

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