Observational studyAdvances in therapy2018
Impact of Powered and Tissue-Specific Endoscopic Stapling Technology on Clinical and Economic Outcomes of Video-Assisted Thoracic Surgery Lobectomy Procedures: A Retrospective, Observational Study.
Observational study in Advances in therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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
27 citing papers in PubMed.
- Real-World Clinical Outcomes of Manual Versus Powered Endoscopic Staplers in Minimally Invasive Lung Cancer Surgery.Journal of clinical medicine · 2026Article
- Evaluation of the AEON Powered Stapler System in Primary Sleeve Gastrectomy: Results of a Prospective Clinical Trial.Journal of metabolic and bariatric surgery · 2026Article
- Risk factors for vascular oozing or bleeding following transection with automatic staplers during uniportal video-assisted thoracoscopic surgery.General thoracic and cardiovascular surgery · 2026Article
- Trends and incidence of reported events associated with staplers: an analysis of the food and drug administration's manufacturer and user facility device experience database.Updates in surgery · 2026Article
- Comparison of clinical and economic outcomes among patients undergoing lung resection using ECHELONJournal of thoracic disease · 2025Article
- Rupture of the staple suture site after stapling the right inferior pulmonary vein with double rows of staples: a case report.General thoracic and cardiovascular surgery cases · 2025Article
- A Comparative Effectiveness Study of Two Narrow-Profile Staplers Used in Video-assisted Thoracoscopic Lobectomy.Medical devices (Auckland, N.Z.) · 2025Article
- A real-world study evaluating the safety and utility of a two-row stapler reload on pulmonary vasculature.Journal of thoracic disease · 2024Article
- Real-world effectiveness of a new powered stapling system with gripping surface technology on the intraoperative clinical and economic outcomes of gastrectomy for gastric cancer.Cost effectiveness and resource allocation : C/E · 2024Article
- Multidisciplinary paper on patient blood management in cardiothoracic surgery in the UK: perspectives on practice during COVID-19.Journal of cardiothoracic surgery · 2023Review
- The role of new staplers in reducing the incidence of air leak.Journal of thoracic disease · 2023Review
- A Comparison of the Preclinical Performance of the Echelon™+ Stapler with Thunderbird Reloads to Two Commercial Endoscopic Surgical Staplers.Medical devices (Auckland, N.Z.) · 2023Article
- Powered stapling system with gripping surface technology for pulmonary resection of lung cancer: real-world clinical effectiveness.Cost effectiveness and resource allocation : C/E · 2022Article
- Evaluation of pulmonary artery bleeding during thoracoscopic pulmonary resection for lung cancer.Thoracic cancer · 2022Article
- Outcomes associated with the use of a new powered circular stapler for left-sided colorectal reconstructions: a propensity score matching-adjusted indirect comparison with manual circular staplers.Surgical endoscopy · 2022Article
- Advances and safe use of energy devices in lung cancer surgery.General thoracic and cardiovascular surgery · 2022Review
- Economic impact of powered stapler in video-assisted thoracic surgery lobectomy for lung Cancer in a Chinese tertiary hospital: a cost-minimization analysis.Health economics review · 2022Article
- Safety considerations in laparoscopic surgery: A narrative review.World journal of gastrointestinal endoscopy · 2022Review
- Lung Cancer Treatment: From Tradition to Innovation.Frontiers in oncology · 2022Review
- Utility of the powered stapler for radical pulmonary resection: a propensity score-matched analysis.Surgery today · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVideo-assisted thoracic surgery (VATS) lung resections are complex procedures with a critical role played by endoscopic staplers in the transection of vessels, bronchi, and lung tissue. This retrospective, observational study compared hospital resource use, costs, and complications of VATS lobectomy procedures for whom powered versus manual endoscopic surgical staplers were used.
methodsPatients ≥ 18 years of age undergoing elective VATS lobectomy during an inpatient admission from January 1, 2012 to September 30, 2016 were identified from the Premier Healthcare Database (first admission = index admission). Use of either powered or manual endoscopic staplers during the index admission was identified from hospital administrative records. Multivariable regression analyses adjusting for patient, hospital, and provider characteristics and hospital-level clustering were carried out to compare the following outcomes between the powered and manual stapler groups: hospital length of stay (LOS), operating room time (ORT), hospital costs, complications (bleeding and/or transfusions, air leak complications, pneumonia, and infection), discharge status, and 30-, 60-, and 90-day all-cause readmissions.
resultsThe powered and manual stapler groups comprised 659 patients (mean age 66.1 years; 53.6% female) and 3100 patients (mean age 66.7 years; 54.8% female), respectively. In the multivariable analyses, the powered stapler group had shorter LOS (4.9 vs. 5.9 days, P < 0.001), lower total hospital costs ($23,841 vs. $26,052, P = 0.009), and lower rates of combined hemostasis complications (bleeding and/or transfusions; 8.5% vs. 16.0%, P < 0.001) and transfusions (5.4% vs. 10.9%, P = 0.002), compared with the manual stapler group. Other outcomes did not differ significantly between the study groups. Similar trends were observed in subanalyses comparing devices across predominant manufacturers in each group, and in subanalyses of patients with comorbid chronic obstructive pulmonary disease.
conclusionIn this analysis of VATS lobectomy procedures, powered staplers were associated with significant benefits with respect to selected types of hospital resource use, costs, and clinical outcomes when compared with manual staplers.
fundingJohnson & Johnson.
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