ArticleObesity surgery2025
Does Stapling Platform Influence Robotic Sleeve Gastrectomy Postoperative Outcomes?
Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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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.
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Who cites it
1 citing paper in PubMed.
- Implementation of a Safe Cost Reduction Strategy for Laparoscopic Sleeve Gastrectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic sleeve gastrectomy (LSG) accounts for the majority of weight loss surgeries worldwide. Although the overall side effect profile is low, the rate of de novo gastroesophageal reflux disease (GERD) ranges between 2.1 and 49%. Our study compares postoperative outcomes using a single-fire stapler versus a multiple-fire linear stapler, with a focus on postoperative de novo GERD.
methodsThis was a retrospective single-surgeon study with data from 257 patients who underwent consecutive robotic-assisted sleeve gastrectomy between 2016 and 2023 with either multiple fires of a linear stapler (n = 201) or a single-fire linear stapler (n = 56). Patient demographics and postoperative outcomes, including 30-day complications, 1-year weight loss, and 1-year postoperative reflux, were analyzed.
resultsPatients in the single-fire group were noted to have a significantly lower rate of postoperative reflux (7.1% vs. 26.4%) and a decreased incidence of de novo reflux (1.8% vs. 10.9%). Additionally, the single-fire group had a shorter average length of stay (2.0 days vs. 2.2 days, p = 0.04). Multivariable analysis demonstrated that single-fire stapler use increased the likelihood of not developing postoperative GERD (odds ratio: 8.4, 95% confidence interval: 2.8-32.5). There was no significant difference in operative time (multiple-fire group: 81.4 min, single-fire group: 90.1 min, p = 0.5) or 1-year percent total weight loss (multiple-fire: 22.4% ± 0.7%, single-fire: 22.0% ± 1.7%, p = 0.8).
conclusionsSingle-fire stapler use may enhance postoperative outcomes in LSG by reducing rates of de novo GERD without impacting weight loss. There was no significant difference in operative time, and postoperative length of stay may be decreased.
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