Laparoscopic stapled bladder closure: Laboratory and clinical experience

K. Kerbl, P. Chandhoke, E. McDougall, R. S. Figenshau, A. M. Stone, R. V. Clayman, R. E. Sosa, H. N. Winfield

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


We report our experience with closure of the bladder during laparoscopic nephroureterectomy by using a gastrointestinal anastomosis type stapling device designed to deliver 6, 3 cm. rows of 3.5 mm. titanium staples via a 12 mm. trocar. We initially used this stapling device to secure a cuff of bladder in 8 female pigs undergoing laparoscopic nephroureterectomy. Followup in these animals was completed 2 to 6 months postoperatively. Then, 3 patients underwent laparoscopic ureterectomy using the laparoscopic stapler to transect and secure the ureter along with a cuff of bladder. In neither the laboratory nor the clinical situation were any complications encountered due to the transvesical staples (for example extravasation, stone formation, urinary tract infection or abscess formation). Our preliminary results indicate that titanium staples may be an effective method to provide rapid and secure closure of the bladder in patients undergoing either laparoscopic nephroureterectomy or laparoscopic ureterectomy.

Original languageEnglish
Pages (from-to)1437-1439
Number of pages3
JournalJournal of Urology
Issue number6
StatePublished - 1993


  • bladder
  • peritoneoscopy
  • surgical staplers


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