Neulander Endre Zoltan
Ben Gurion University, Soroka UMC, Department of Urology, Beer Sheeva, Israel.
Cent European J Urol. 2018;71(4):391-393. doi: 10.5173/ceju.2018.1542. Epub 2018 Nov 19.
The articulated Endo GIA stapler has proven itself as an important addition to the technical armamentarium of radical cystectomy (RC) [1]. RC in female patients is technically more challenging than in males, especially when improved functional results and life quality issues, such as vaginal preservation and nerve sparing, are pursued. Additionally, the use of the endo stapler reduces bleeding in female cystectomy [1].
Using the Endo GIA stapler, we performed the lateral vaginal dissection during RC (radical cystectomy) in 7 female patients with minimal blood loss and very good functional results. We were able to prevent vaginal tethering and preserve enough vaginal tissue for reconstruction over a 10 or 20 cc syringe.
The articulated Endo GIA is a versatile and safe tool used to perform the often technically demanding lateral vaginal dissection during RC in female patients.
关节式Endo GIA吻合器已证明是根治性膀胱切除术（RC）技术装备的重要补充[1]。女性患者的RC在技术上比男性更具挑战性，尤其是在追求改善功能结果和生活质量问题（如保留阴道和保留神经）时。此外，使用内镜吻合器可减少女性膀胱切除术中的出血[1]。
我们使用Endo GIA吻合器，对7例女性患者在RC（根治性膀胱切除术）期间进行了阴道外侧分离，出血量极少，功能结果非常好。我们能够防止阴道粘连，并保留足够的阴道组织用于在10或20毫升注射器上进行重建。
关节式Endo GIA是一种多功能且安全的工具，用于在女性患者的RC期间进行通常技术要求较高的阴道外侧分离。
