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Stapler-less burst pressure in an ex vivo human gastric tissue: a randomized controlled trial
- Source :
- Updates in Surgery
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Stapler-less laparoscopic sleeve gastrectomy (LSG) is emerging as a new potential affordable cost-effective alternative procedure. However, no pre-clinical data are currently available on human tissue. We aimed to evaluate whether traditionally suturing without the use of surgical stapling may produce a comparable bursting pressure on human gastric tissue. A prospective cohort of consecutive patients undergoing LSG was divided in two groups to compare a barbed extra-mucosal running suture (stapler-less) versus a standard stapler line. A burst pressure test was applied to the gastric specimen employing high-resolution manometric catheter. Type, location and features of the leak were described. We enrolled a total of 40 obese patients, 20 patients for each group. Median burst pressures of the stapler-less group resulted statistically significant increased (p p = N.S.), more often at the proximal stomach (p
- Subjects :
- Sleeve gastrectomy
Leak
medicine.medical_specialty
Manometry
medicine.medical_treatment
law.invention
Burst pressure
Suture (anatomy)
Randomized controlled trial
Gastrectomy
law
Surgical Stapling
Humans
Medicine
Prospective Studies
Stapler-less
Prospective cohort study
business.industry
Stomach
Leaks
Obesity, Morbid
Surgery
Catheter
Surgical suture
Original Article
Laparoscopy
business
Ex vivo
Subjects
Details
- ISSN :
- 20383312 and 2038131X
- Volume :
- 73
- Database :
- OpenAIRE
- Journal :
- Updates in Surgery
- Accession number :
- edsair.doi.dedup.....fb55479d8e90b9a266d0749f0d02c35d