Stapler-less burst pressure in an ex vivo human gastric tissue: a randomized controlled trial
| Autor: | Gianmattia del Genio, Mariachiara Lanza Volpe, Ludovico Docimo, Domenico Parmeggiani, Francesco Saverio Lucido, Luigi Brusciano, Salvatore Tolone, Claudio Gambardella |
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| Rok vydání: | 2021 |
| Předmět: |
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 |
| Zdroj: | Updates in Surgery |
| ISSN: | 2038-3312 2038-131X |
| DOI: | 10.1007/s13304-021-00975-y |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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