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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Perioperative Outcomes Using Single-Fire Stapler.

Gregory D Fritz1, Aryana Sharrak2, Jason Aubrey2

  • 1Corewell Health Department of General Surgery, 1900 Wealthy St SE, Suite 250, Grand Rapids, MI, 49506, USA. gregory.fritz@spectrumhealth.org.

Obesity Surgery
|August 6, 2024
PubMed
Summary
This summary is machine-generated.

The Titan stapler offers a safe and effective approach to laparoscopic sleeve gastrectomy (LSG), reducing operative time, hospital stay, readmissions, and nausea/vomiting compared to sequential firing techniques.

Keywords:
Bariatric surgerySleeve gastrectomyStapling device

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Area of Science:

  • Bariatric surgery
  • Minimally invasive surgery
  • Surgical devices

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is a prevalent bariatric procedure globally.
  • The Titan stapler is designed to enhance standardization and simplify LSG.
  • Ensuring consistent outcomes in bariatric surgery is a key focus.

Purpose of the Study:

  • To evaluate the safety and efficacy of the latest Titan stapler iteration for LSG.
  • To compare outcomes of LSG using the Titan stapler versus a sequential staple firing technique.
  • To identify potential improvements in perioperative and postoperative metrics.

Main Methods:

  • Retrospective chart review of patients undergoing LSG with the Titan stapler.
  • Comparison with a historical cohort of LSG patients using sequential staple firing.
  • Abstraction of pre-operative demographics, perioperative findings, and postoperative complications from the MBSAQIP database.
  • Propensity score matching to control for confounding variables.

Main Results:

  • Titan stapler group (n=807) showed reduced operative duration, hospital length of stay, 30-day readmissions, and postoperative nausea/vomiting compared to sequential firing (n=3829).
  • Postoperative bleeding rates were comparable between the two techniques.
  • Initial differences in 6-month weight loss favored sequential firing, but this disparity diminished by 1 year.

Conclusions:

  • The latest Titan stapler iteration is safe and effective for LSG.
  • This device has led to significant improvements in length of stay, readmissions, and postoperative nausea/vomiting.
  • Reduced operative time was also observed with the Titan stapler technique.