ENDOVASCULAR GASTROINTESTINAL STAPLER DEVICE MALFUNCTION DURING LAPAROSCOPIC NEPHRECTOMY: EARLY RECOGNITION AND MANAGEMENT

Abstract

The endovascular GIA stapler is useful in performing laparoscopic nephrectomy. However, malfunctions may occur, and can be associated with significant blood loss and subsequent need for conversion to an open procedure. The majority of errors could be avoided with careful application and recognition. Many failures, especially when recognized before release of the device, can be managed without conversion to an open procedure.