Comparative Analysis of Hemostasis and Staple-Line Integrity between Medtronic Tri-StapleTM with Preloaded Buttress Material and the AEONTM Stapler in Bariatric Surgery.

Gabrielle Hogan, Ravi Rao, Aditya Rao, Faran Talebi
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Abstract

Background and objectives: Haemostasis-related complications associated with Medtronic Tri-stapleTM with preloaded buttress material and the novel, naked AEONTM gastrointestinal staplers have not been extensively studied in bariatric surgery. The study aimed to assess and compare the 30-day haemostasis-related complications between Medtronic Tri-stapleTM and AEONTM GIA staplers.

Methods: A retrospective analysis was performed on data from patients who underwent primary or revision sleeve gastrectomy (SG) or the sleeve component of single anastomosis duodeno-ileal bypass with SG (SADI-S) in a private hospital in Australia between November 2021 and December 2022. The surgeries were performed by a single surgeon, using either Medtronic Tri-stapleTM or AEONTM staplers.

Results: The analysis included 250 patients, with the first 125 consecutive patients receiving staple line using the Medtronic Tri-stapleTM GIA stapler and the subsequent 125 patients receiving staple line using the AEONTM GIA stapler. Statistical analysis revealed no significant differences in the distribution of surgical procedures between the Medtronic and AEON groups. In the AEON group, there were statistically higher numbers of diabetics and former tobacco users, while other preoperative characteristics did not significantly differ between the two groups. The AEON group had a significantly longer mean operative time, while the length of hospital stay was significantly shorter. No intraoperative or 30-day complications, deaths, emergency room visits, readmissions, or reoperations were observed in either group.

Conclusion: The novel, naked AEONTM stapler demonstrated non-inferiority to the established Medtronic Tri-StapleTM with preloaded buttress material in achieving hemostasis and maintaining staple-line integrity in bariatric surgery.

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美敦力Tri-StapleTM预装对接材料和AEONTM缝合器在减肥手术中止血和缝合线完整性的比较分析。
背景和目的:美敦力 Tri-stapleTM 预装对接材料和新型裸露 AEONTM 胃肠道订书机的止血相关并发症尚未在减肥手术中得到广泛研究。本研究旨在评估和比较美敦力 Tri-stapleTM 和 AEONTM GIA 订书机 30 天止血相关并发症:对 2021 年 11 月至 2022 年 12 月期间在澳大利亚一家私立医院接受初次或翻修袖带胃切除术(SG)或单吻合十二指肠-回肠搭桥术袖带部分(SADI-S)的患者数据进行了回顾性分析。手术由一名外科医生使用美敦力 Tri-stapleTM 或 AEONTM 订书机进行:分析对象包括 250 名患者,其中前 125 名患者连续使用美敦力 Tri-stapleTM GIA 订书机接受缝合线手术,后 125 名患者使用 AEONTM GIA 订书机接受缝合线手术。统计分析显示,美敦力组和 AEON 组的手术程序分布无明显差异。据统计,AEON组中糖尿病患者和曾经吸烟者的人数较多,而两组患者的其他术前特征没有明显差异。AEON 组的平均手术时间明显更长,而住院时间则明显更短。两组患者均未出现术中或30天内并发症、死亡、急诊就诊、再入院或再次手术:结论:在减肥手术中,新型裸露 AEONTM 订书机在实现止血和保持订书机线完整性方面不劣于美敦力 Tri-StapleTM 订书机。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
69
审稿时长
4-8 weeks
期刊介绍: JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.
期刊最新文献
Hysterectomy for Large Uterus by Minimally Invasive Surgery (MIS). Surgeons' Approach to Intraoperative Complications in Total Extraperitoneal (TEP) Hernia Repair. Inferior-Medial Approach to Laparoscopic Splenic Vessel-Preserving Distal Pancreatectomy. Comparative Analysis of Hemostasis and Staple-Line Integrity between Medtronic Tri-StapleTM with Preloaded Buttress Material and the AEONTM Stapler in Bariatric Surgery. Current Status and Role of Artificial Intelligence in Anorectal Diseases and Pelvic Floor Disorders.
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