Assessment of a novel stapler performance for laparoscopic sleeve gastrectomy

Salyer, Christen E; Spuzzillo, Anthony; Wakefield, Devin L.; Gomaa, Dina; Thompson, Jonathan R.; Goodman, Michael D.

doi:10.1007/s00464-020-07858-0

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…Standard Bariatrics (Cincinnati, OH, USA) has developed a novel linear stapler called Standard Titan to perform a sleeve gastrectomy with a single stapler firing. This device aims to decrease technical and mechanical failure by eliminating junctions along the staple line, decreasing tissue manipulation and operative time while optimizing gastric tissue compression [40].…”

Section: Linear Cutting Staplersmentioning

confidence: 99%

“…Another surgery in which linear cutting staplers are well established consists of laparoscopic sleeve gastrectomy (established standard of care), the most common bariatric procedure. In particular, the stapler is used to resect the lateral portion of the stomach [40]. In comparison with the other two staplers adopted in this surgery, Standard Titan highlighted the mechanical benefits of withstanding higher burst pressure with the notable advantage of single-load functionality.…”

Section: Linear Cutting Staplersmentioning

confidence: 99%

“…In comparison with the other two staplers adopted in this surgery, Standard Titan highlighted the mechanical benefits of withstanding higher burst pressure with the notable advantage of single-load functionality. Clearly, the new single staple load eliminates staple line junctions without sacrificing the integrity of staple formation along the staple line [40].…”

Section: Linear Cutting Staplersmentioning

confidence: 99%

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Mechanical Stapling Devices for Soft Tissue Repair: A Review of Commercially Available Linear, Linear Cutting, and Circular Staplers

Burgio,

Bei,

Rodriguez Reinoso

et al. 2024

Applied Sciences

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Stapling devices have emerged as a widespread and effective option for soft tissue surgery, offering promising outcomes for patients by reducing complication rates and surgery time. This review aims to provide an exhaustive analysis of commercially available alternatives in the market, incorporating insights from market analysis, patent landscape, and the existing literature. The main focus lies in identifying and evaluating the most widely adopted and innovative stapling devices, including linear, linear cutting, circular, and powered staplers. In addition, this review delves into the realm of bioabsorbable staples, exploring the materials utilized and the surgical fields where these advanced staples find applications. To facilitate easy comprehension, the gathered information is presented in tables, highlighting the essential parameters for each stapling device. This comprehensive research about stapling devices is intended to aid healthcare practitioners and researchers in making informed decisions when choosing the most appropriate instrument for specific surgical procedures.

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Section: Linear Cutting Staplersmentioning

confidence: 99%

Section: Linear Cutting Staplersmentioning

confidence: 99%

Section: Linear Cutting Staplersmentioning

confidence: 99%

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Mechanical Stapling Devices for Soft Tissue Repair: A Review of Commercially Available Linear, Linear Cutting, and Circular Staplers

Burgio,

Bei,

Rodriguez Reinoso

et al. 2024

Applied Sciences

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“…Without multiple crossed staple lines, the Titan eliminates the surgeons’ search for and removal of the migratory “crotch staple” which has been identified as a risk of leak [ 11 ]. Comparative testing conducted on excised human tissue revealed the superiority of the Titan SGS stapler to two commonly utilized commercial devices in both staple line integrity and burst pressure, noting that over one third of experimentally created leaks occur at stapler junctions [ 12 ]. The Titan SGS has additionally been demonstrated as safe and effective in gastric resection in acute and chronic porcine studies.…”

mentioning

confidence: 99%

Multisite study of Titan SGS stapler in longitudinal gastric resection

et al. 2022

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Background Standardization of the laparoscopic sleeve gastrectomy procedure is needed to improve patient outcomes. A single-fire 23 cm stapler was developed to streamline the operation. Comparative testing conducted on excised human tissue has demonstrated the superiority of the novel Titan SGS stapler to two commonly utilized commercial devices in both staple line integrity and burst pressure. We hypothesized that the stapler would be safe and effective in creating longitudinal gastric resections in human patients. Methods 61 patients were enrolled to undergo gastric resection with the Titan SGS stapler. Perioperative interventions and post-operative adverse events were recorded. Upper GI study was completed on post-operative day 1, and patients were followed for 6 weeks post-operatively to determine any subacute device-related adverse events. Results Surgeon feedback for intraoperative device utilization and post-operative gastric pouch shape were positive. Adverse events were found to be mild, limited, and generally well-known effects of bariatric surgery. One episode of post-operative hemorrhage required surgical takeback, with no criminal bleeding vessel identified. Conclusion The Titan SGS stapler is both safe and effective in sleeve gastrectomy pouch creation.

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“…Routinely, we use the same stapler size that we use for patients qualified directly for laparoscopic sleeve gastrectomy (LSG). Considering the article by Salyer et al [4] about optimal stapler selection during LSG, and the careful balance between tissue compression, hemostasis, and mechanical integrity, sometimes, in patients prepared with intragastric balloon and increased stomach wall thickness, we change the staplers' size for higher ones. We regularly (not only after balloon insertion) suture all staple lines during LSG with 3-0 V-loc running suture.…”

mentioning

confidence: 99%