ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2018
More stapler firings increase the risk of perioperative morbidity after laparoscopic sleeve gastrectomy.
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Compression pre-stapler firing and post-ignition wait during sleeve gastrectomy: a prospective randomized trial.Sao Paulo medical journal = Revista paulista de medicina · 2023Trial
- Tranexamic acid effects in postoperative bleeding outcomes in laparoscopic sleeve gastrectomy: a controlled study.Acta cirurgica brasileira · 2022Trial
- Resected gastric volume/number of staplers fired ratio as a tool in predicting complication and midterm results in sleeve gastrectomy.Scientific reports · 2024Article
- Differences in Technical Aspects of Primary Sleeve Gastrectomy Prior to Redo Bariatric Surgery-A Multicenter Cohort Study (PROSS Study).Medicina (Kaunas, Lithuania) · 2023Article
- Stapled fascial suture: ex vivo modeling and clinical implications.Surgical endoscopy · 2022Article
- Postoperative bleeding and leaks in sleeve gastrectomy are independent of both staple height and staple line oversewing.Surgical endoscopy · 2022Article
- Assessment of a novel stapler performance for laparoscopic sleeve gastrectomy.Surgical endoscopy · 2021Article
- Impact of Resection Volume/Stapler Firings-Ratio on Perioperative Complications and Weight Loss After Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2021Article
- High compliance to ERAS protocol does not improve overall survival in patients treated for resectable advanced gastric cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Article
- The hundred most frequently cited studies on sleeve gastrectomy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Review
- Outcomes of sleeve gastrectomy in patients older than 60 years: a multicenter matched case-control study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Article
- Analysis of Laparoscopic Sleeve Gastrectomy Learning Curve and Its Influence on Procedure Safety and Perioperative Complications.Obesity surgery · 2018Article
- Gastric wall thickness and stapling in laparoscopic sleeve gastrectomy - a literature review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionStaple-line bleeding and leakage are the most common serious complications of laparoscopic sleeve gastrectomy. The relationship between multiple stapler firings and higher risk of postoperative complications is well defined in colorectal surgery but has not been addressed in bariatric procedures so far. Identification of new factors such as "the numbers of stapler firings used during laparoscopic sleeve gastrectomy (LSG)" as a predictor for complications can lead to optimization of the patient care at bariatric centers.
aimTo determine the association between perioperative morbidity and the number of stapler firings during laparoscopic sleeve gastrectomy. MATERIAL AND
methodsThis observational study was based on retrospective analysis of prospectively collected data in patients operated on for morbid obesity in a teaching hospital/tertiary referral center for general surgery. The patients who underwent LSG were analyzed in terms of the number of stapler firings used as a new potential risk predictor for postoperative complications after surgery, adjusting for other patient- and treatment-related factors. The study included 333 patients (209 women, 124 men, mean age: 40 ±11).
resultsDuring the first 30 days after surgery, complications were observed in 18 (5.41%) patients. Multivariate analysis showed that prolonging operative time increased morbidity (every minute, OR = 1.01; 95% CI: 1.00-1.02) and the complication rate increased with the number of stapler firings (every firing, OR = 1.91; 95% CI: 1.09-3.33; p = 0.023).
conclusionsAdditional stapler firings above the usual number and a prolonged operation should alert a surgeon and the whole team about increased risk of postoperative complications.
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