ReviewAnnals of the Royal College of Surgeons of England2017
Staple line oversewing during laparoscopic sleeve gastrectomy.
Review in Annals of the Royal College of Surgeons of England, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Staple Line Reinforcement During Laparoscopic Sleeve Gastrectomy: Systematic Review and Network Meta-analysis of Randomized Controlled Trials.Obesity surgery · 2022Pooled it
- Management of Staple Line Leaks Following Sleeve Gastrectomy-a Systematic Review.Obesity surgery · 2019Pooled it
- Improving Hemostasis in Sleeve Gastrectomy With Alternative Stapler.JSLS : Journal of the Society of Laparoendoscopic SurgeonsTrial
- Evaluating National Trends in Bleeding Associated with Metabolic Bariatric Surgery over 7 Years.Obesity surgery · 2025Article
- Comparison of Complications and Mortality in Patients Undergoing Laparoscopic Sleeve Gastrectomy With and Without Omentopexy.Obesity surgery · 2025Article
- Microbiota dynamics preceding bariatric surgery as obesity treatment: a comprehensive review.Frontiers in nutrition · 2024Review
- A comparative study between staple line reinforcement during laparoscopic sleeve gastrectomy and no reinforcement: an Egyptian experience.Surgical endoscopy · 2023Article
- Battle of the buttress: 5-year propensity-matched analysis of staple-line reinforcement techniques from the MBSAQIP database.Surgical endoscopy · 2023Article
- Is staple line oversewing in patients on chronic anticoagulation during laparoscopic sleeve gastrectomy necessary? Propensity score matching analysis using the 2015-2018 MBSAQIP.Surgical endoscopy · 2022Article
- Postoperative bleeding and leaks in sleeve gastrectomy are independent of both staple height and staple line oversewing.Surgical endoscopy · 2022Article
- To oversew or not to oversew in robotic sleeve gastrectomy: a case against oversewing the staple line.Langenbeck's archives of surgery · 2021Article
- Trends and Outcomes of Laparoscopic Sleeve Gastrectomy Between 2015 and 2018 in the USA and Canada.Obesity surgery · 2021Article
- Imaging after laparoscopic sleeve gastrectomy - literature review with practical recommendations.Polish journal of radiology · 2021Review
- The Positive Effects of the Human Amniotic Membrane on the Healing of Staple Line After Sleeve Gastrectomy Applied Long-Evans Rat Model.Obesity surgery · 2019Article
- Staple Line Treatment and Bleeding After Laparoscopic Sleeve Gastrectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction This meta-analysis was performed to assess the possible benefits of staple line oversewing during laparoscopic sleeve gastrectomy. Methods A comprehensive search up to February 2017 was conducted on PubMed, the Web of Science™ and Embase™. All eligible studies were included, and the outcomes of staple line bleeding and leak, overall complications and operative time were pooled. Results A total of 7 randomised controlled trials involving 845 patients (428 cases and 417 controls) were analysed. There was no significant difference in staple line bleeding (relative risk [RR]: 0.858, 95% confidence interval [CI]: 0.343-2.143, p=0.742), leak (RR: 0.650, 95% CI: 0.257-1.644, p=0.363) or overall complications (RR: 0.913, 95% CI: 0.621-1.342, p=0.644) between the oversewing group and the patients who did not have oversewing. Oversewing of the staple line was associated with a longer operative time (weighted mean difference: 14.400, 95% CI: 7.198-21.602, p=0.000). Conclusions Oversewing the staple line during laparoscopic sleeve gastrectomy does not decrease the risk of staple line bleeding, leakage or overall complications but it does prolong the operative time.
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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.