ReviewMedical devices (Auckland, N.Z.)2014
Surgical stapling device-tissue interactions: what surgeons need to know to improve patient outcomes.
Review in Medical devices (Auckland, N.Z.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
60 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perirectal Hematoma and Intra-Abdominal Bleeding after Stapled Hemorrhoidopexy and STARR-A Proposal for a Decision-Making Algorithm.Medicina (Kaunas, Lithuania) · 2020Pooled it
- Trial
- Real-World Clinical Outcomes of Manual Versus Powered Endoscopic Staplers in Minimally Invasive Lung Cancer Surgery.Journal of clinical medicine · 2026Article
- Unexpected doornail hilar lymph nodes during robot-assisted pulmonary resection: intraoperative challenges and management strategies.Journal of robotic surgery · 2026Article
- Adverse-event reporting profiles of the Intuitive SureForm robotic stapling system in the FDA MAUDE database differ by product code: a comparison of GDW- and NAY-coded reports.Journal of robotic surgery · 2026Article
- Life-threatening hemorrhagic shock due to intercostal artery perforation from a protruding staple leg after pulmonary wedge resection with a reinforced stapler: a case report.General thoracic and cardiovascular surgery cases · 2026Article
- A Prospective Comparative Study Between Stapler and Handsewn Gastrointestinal Anastomosis.Cureus · 2026Article
- Review
- A comparative analysis of staple height used for robotic right colectomy.Journal of robotic surgery · 2025Article
- Importance of the diameter of the mechanical suture in rectal surgery in relation to benign anastomotic stenosis. Cross-sectional observational study.Techniques in coloproctology · 2025Observational
- Use of Lower Staple Heights in Robotic Sleeve Gastrectomy: National Trends and Impact on Outcomes.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Staple and Stitch-An Unconventional Application of Noncutting Staples for a Novel Muscle Repair Technique.Journal of plastic and reconstructive surgery · 2025Article
- Stapled vs. manually sutured bowel anastomosis in robot-assisted radical cystectomy: a single-center retrospective analysis.BMC urology · 2025Article
- European expert consensus on a structured approach to circular stapling anastomosis in minimally invasive left-sided colorectal resection.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Evaluation of intestinal tissue safety during the compression process of circular end-to-end anastomosis stapler based on finite element simulation.Frontiers in bioengineering and biotechnology · 2025Article
- Conformal sublobar electroresection with volume optimization achieves greater parenchymal preservation than stapler in wedge resection: a volumetric analysis.Frontiers in oncology · 2025Article
- Rectal stenosis after circular mechanical anastomosis; the influence of stapler size.Surgical endoscopy · 2024Observational
- Predictors of postoperative bleeding after minimally invasive bariatric surgery.Surgical endoscopy · 2024Article
- A Comparative Study of Hand-Sewn and Stapled Anastomosis in Gastrointestinal Surgeries.Cureus · 2024Article
- The impact of powered circular staplers on anastomotic leak in left-sided colorectal cancer surgeries.Surgical endoscopy · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The introduction of both new surgical devices and reengineered existing devices leads to modifications in the way traditional tasks are carried out and allows for the development of new surgical techniques. Each new device has benefits and limitations in regards to tissue interactions that, if known, allow for optimal use. However, most surgeons are unaware of these attributes and, therefore, new device introduction creates a "knowledge gap" that is potentially dangerous. The goal of this review is to present a framework for the study of device- tissue interactions and to initiate the process of "filling in" the knowledge gap via the available literature. Surgical staplers, which are continually being developed, are the focus of this piece. The integrity of the staple line, which depends on adequate tissue compression, is the primary factor in creating a stable anastomosis. This review focuses on published studies that evaluated the creation of stable anastomoses in bariatric, thoracic, and colorectal procedures. Understanding how staplers interact with target tissues is key to improving patient outcomes. It is clear from this review that each tissue type presents unique challenges. The thickness of each tissue varies as do the intrinsic biomechanical properties that determine the ideal compressive force and prefiring compression time for each tissue type. The correct staple height will vary depending on these tissue-specific properties and the tissue pathology. These studies reinforce the universal theme that compression, staple height, tissue thickness, tissue compressibility, and tissue type must all be considered by the surgeon prior to choosing a stapler and cartridge. The surgeon's experience, therefore, is a critical factor. Educational programs need to be established to inform and update surgeons on the characteristics of each stapler. It is hoped that the framework presented in this review will facilitate this process.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.