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RESULTS OF MECHANIC VERSUS MOTORIZED STAPLER USED IN GASTRIC SURGERY: PROSPECTIVE STUDY.
Italo Braghetto1, Gustavo Czwiklitzer1, Owen Korn1
1Digestive and Bariatric Surgical Unit, Redsalud Providencia, Santiago, Chile.
Summary
Motorized staplers significantly reduce surgical time and the number of firings in gastric procedures like sleeve gastrectomy and gastric bypass. This advanced technology ensures safety and efficacy, with no increase in complications compared to mechanical sutures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Mechanical sutures are beneficial in digestive surgery, reducing postoperative complications.
- The efficacy of motorized staplers in gastric surgery requires further evaluation.
Purpose of the Study:
- To compare the efficacy of mechanical versus motorized staplers in gastric surgery.
- To analyze rates of leaks, bleeding, stapling time, and postoperative complications.
Main Methods:
- A study involving 98 patients undergoing laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, or laparoscopic distal gastrectomy.
- Patients were divided into groups using either mechanical or motorized staplers.
- Data collected included number of firings, clip usage, stapling time, and overall surgical duration.
Main Results:
- Motorized staplers resulted in significantly shorter procedure times and fewer firings across all gastric surgery types (p<0.0001).
- No significant differences in clip usage were observed for laparoscopic sleeve gastrectomy.
- Mechanical staplers led to prolonged firing and total procedure times for gastrojejunostomy and jejunal transection (p=0.0001).
- No intraoperative complications were noted when comparing the two stapling devices.
Conclusions:
- Motorized staplers demonstrate safety and efficacy in gastric surgery.
- Reduced total surgical procedure time without intraoperative or postoperative complications confirms the value of motorized staplers.
