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Related Experiment Video

Updated: May 14, 2025

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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Does Stapling Platform Influence Robotic Sleeve Gastrectomy Postoperative Outcomes?

Lee Ying1, Rachael Rutledge2, Samuel Butensky3

  • 1Yale New Haven Hospital, New Haven, USA. lee.ying@yale.edu.

Obesity Surgery
|April 14, 2025
PubMed
Summary
This summary is machine-generated.

Single-fire staplers significantly reduce de novo gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG). This approach improves outcomes without affecting weight loss or operative time.

Keywords:
ObesityOutcomesSleeve gastrectomyStapling

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Area of Science:

  • Bariatric Surgery
  • Gastroenterology
  • Surgical Technology

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is a common weight loss surgery.
  • De novo gastroesophageal reflux disease (GERD) is a notable postoperative complication, with rates varying widely.
  • This study investigates stapler type's impact on de novo GERD after LSG.

Purpose of the Study:

  • To compare postoperative outcomes between single-fire and multiple-fire linear staplers in robotic-assisted LSG.
  • To specifically evaluate the incidence of de novo GERD in relation to stapler type.
  • To assess other outcomes like weight loss, complications, and length of stay.

Main Methods:

  • Retrospective study of 257 patients undergoing robotic-assisted LSG.
  • Comparison of outcomes between patients using a multiple-fire linear stapler (n=201) and a single-fire linear stapler (n=56).
  • Analysis of 30-day complications, 1-year weight loss, and 1-year postoperative reflux.

Main Results:

  • The single-fire stapler group showed significantly lower rates of postoperative reflux (7.1% vs. 26.4%) and de novo reflux (1.8% vs. 10.9%).
  • Single-fire stapler use was associated with a shorter average length of stay (2.0 vs. 2.2 days).
  • Multivariable analysis indicated single-fire stapler use increases the likelihood of avoiding postoperative GERD (OR: 8.4). No significant differences in operative time or 1-year weight loss were observed.

Conclusions:

  • Single-fire stapler use in LSG may reduce de novo GERD rates.
  • This technique appears to enhance postoperative outcomes without compromising weight loss.
  • Potential for decreased length of stay observed with single-fire stapler use.