AST Surgical Technologist Practice Exam

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For which surgical procedure is the use of an intraluminal (circular) stapler indicated?

Appendectomy
Sigmoidectomy
Cholecystectomy
Laparotomy

The correct answer is: Sigmoidectomy

The use of an intraluminal (circular) stapler is indicated for a sigmoidectomy because this procedure involves the resection of the sigmoid colon, which requires the anastomosis (connection) of the two open ends of the remaining bowel. The intraluminal stapler allows for the precise and efficient approximation of the bowel walls, creating a secure anastomosis while minimizing the incidence of complications like leaks. This method is particularly beneficial in colorectal surgeries, where maintaining the integrity of the bowel is crucial for recovery and function. In contrast, the other procedures listed have different surgical requirements. An appendectomy primarily involves the removal of the appendix, which does not necessitate the use of stapling devices for bowel anastomosis. A cholecystectomy focuses on the removal of the gallbladder, unrelated to colon surgery, and laparotomy is a general term for a surgical incision into the abdominal cavity without specifying any particular organ. Each of these procedures has unique techniques and tools that are more suitable for their specific requirements, making the use of an intraluminal stapler best suited for sigmoidectomy.