Compression pre-stapler firing and post-ignition wait during sleeve gastrectomy: a prospective randomized trial

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Limited research exists on optimal stapling techniques and durations in laparoscopic sleeve gastrectomy (LSG).
• Standard LSG procedures may benefit from refined stapling protocols to improve patient safety and outcomes.

Purpose of the Study:

• To evaluate the clinical effectiveness of a specific stapling technique in LSG.
• To assess outcomes using a 30-second pre-staple and 30-second post-staple waiting period without additional staple line support.

Main Methods:

• A randomized controlled prospective study involving 120 patients undergoing LSG.
• Patients were divided into a control group (no waiting time) and an intervention group (30-second pre- and post-staple waiting time).
• Perioperative bleeding, postoperative C-reactive protein (CRP) levels, hemoglobin levels, and complication rates were analyzed.

Main Results:

• The waiting group demonstrated a significant reduction in intraoperative bleeding points requiring intervention (81 vs. 134).
• The non-waiting group experienced significant increases in postoperative CRP and decreases in hemoglobin levels.
• A total of 22 postoperative complications (18.3%) were recorded within 30 days.

Conclusions:

• The 30-second pre- and post-staple waiting technique is a practical and effective method for LSG.
• This stapling strategy significantly reduces perioperative bleeding and serious complication rates.
• The technique may also contribute to a shorter hospital stay and improved postoperative recovery.