Certified Surgical Technologist (CST) Practice Exam

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Use of an intraluminal (circular) stapler (EEA) would be indicated for which of the following surgical procedures?

  1. Pancreatectomy

  2. Cholecystectomy

  3. Polypectomy

  4. Sigmoidectomy

The correct answer is: Sigmoidectomy

An intraluminal circular stapler, also known as an End-to-End Anastomosis (EEA) stapler, is specifically designed for creating circular anastomoses within the gastrointestinal tract. This tool is particularly useful when a segment of the bowel is resected, and the remaining ends need to be joined together. In the context of a sigmoidectomy, which involves the removal of the sigmoid colon, the use of an EEA stapler facilitates the reconnection of the remaining sections of the colon. The circular stapler allows for the alignment of the two bowel ends in a way that promotes efficient healing and minimizes the risk of complications associated with manual suturing. In contrast, procedures such as pancreatectomy and cholecystectomy, which involve the pancreas and gallbladder respectively, do not typically require the use of circular staplers, as they do not involve reanastomosis of bowel segments. A polypectomy, which focuses on the removal of polyps from the colon, also does not necessitate the use of such a stapler, as it does not involve rejoining two sides of the bowel after resection. Thus, the use of an EEA stapler is most appropriately indicated in a