ORIGINAL RESEARCH article
Front. Bioeng. Biotechnol.
Sec. Biomechanics
Volume 13 - 2025 | doi: 10.3389/fbioe.2025.1594969
Evaluation of Intestinal Tissue Safety During the Compression Process of Circular End-to-End Anastomosis Stapler Based on Finite Element Simulation
Provisionally accepted
- 1Tianjin Union Medical Centre, Nankai University, Tianjin, China
- 2Gansu Provincial Hospital, Lanzhou, China
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Objective: Currently, there is no standardized finite element analysis method for investigating the safe compression range of circular end-to-end anastomosis stapler. This study aims to develop a finite element analysis framework based on stress thresholds and the volumetric distribution of tissue states, and to investigate the effects of tissue thickness and compression ratio on the risk of compression-induced injury during anastomosis.The evaluation is conducted by calculating the proportion of the volume of elements categorized as " effective fixation" or "damaged" based on equivalent stress.Methods: A disposable circular end-to-end anastomosis stapler was used as the reference model to create a 1:1 scale 3D model of the key components at the contact surface, including the anvil, staple cartridge, and cutting washer. Finite element models of intestinal tissue with varying thicknesses were established within the environment of the circular stapler. Different compression ratios were applied to analyze the stress distribution in the intestinal tissue.Results: Across experiments with intestinal tissues of all thicknesses, the safe compression ratio consistently centered around 60%. The maximum equivalent stress on the lower intestinal segment was always greater than that on the upper segment, while the average equivalent stress of the upper and lower intestinal segments exhibited a collinear distribution across experiments with varying tissue thickness. An increase in total tissue thickness positively contributed to the expansion of the safe compression range. In asymmetric tissue thickness models, the side with greater thickness demonstrated a broader safe compression range.Conclusion: The safe compression range of staplers is closely related to the properties and thickness of the tissue. This study provides a framework for simulating and determining the safe compression range of staplers.
Keywords: Circular end-to-end anastomosis staplerCircular stapler, Compression injury, Finite Element Analysis, Compression ratio, Equivalent stress
Received: 24 Mar 2025; Accepted: 17 Jun 2025.
Copyright: © 2025 Zhou, Tan, Jiang, Sun and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Dewang Wu, Gansu Provincial Hospital, Lanzhou, China
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