Staplerless Laparoscopic Gastric Bypass: Not So Fast

Póvoas, Heitor P.; Vilas-Bôas, Marcos Leão

doi:10.1381/096089206778026299

Cited by 4 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, it is very difficult to make a final conclusion on this matter. The group who was oversewn [22,53] did not report any leaks. We report leaks with Peri-Strips (BPS).…”

Section: Stapler Misfirementioning

confidence: 87%

Reinforcement Does Not Necessarily Reduce the Rate of Staple Line Leaks After Sleeve Gastrectomy. A Review of the Literature and Clinical Experiences

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Therefore, it is very difficult to make a final conclusion on this matter. The group who was oversewn [22,53] did not report any leaks. We report leaks with Peri-Strips (BPS).…”

Section: Stapler Misfirementioning

confidence: 87%

Reinforcement Does Not Necessarily Reduce the Rate of Staple Line Leaks After Sleeve Gastrectomy. A Review of the Literature and Clinical Experiences

et al. 2008

View full text Add to dashboard Cite

show abstract

“…That is, some authors reported limited initial reports of stapler-less sleeve gastrectomy created via energy-based resection and closed by sutures alone [ 6 ]. However, due to the lack of data, the bariatric community remains sceptical about stapler-less procedures, considered cumbersome and time-consuming, and currently far from being a valid alternative [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Stapler-less burst pressure in an ex vivo human gastric tissue: a randomized controlled trial

et al. 2021

View full text Add to dashboard Cite

Stapler-less laparoscopic sleeve gastrectomy (LSG) is emerging as a new potential affordable cost-effective alternative procedure. However, no pre-clinical data are currently available on human tissue. We aimed to evaluate whether traditionally suturing without the use of surgical stapling may produce a comparable bursting pressure on human gastric tissue. A prospective cohort of consecutive patients undergoing LSG was divided in two groups to compare a barbed extra-mucosal running suture (stapler-less) versus a standard stapler line. A burst pressure test was applied to the gastric specimen employing high-resolution manometric catheter. Type, location and features of the leak were described. We enrolled a total of 40 obese patients, 20 patients for each group. Median burst pressures of the stapler-less group resulted statistically significant increased (p < 0.0001) than the one in standard stapler group. In all cases, leak occurred along the surgical closure site independently from the used technique (group 1 vs 2; p = N.S.), more often at the proximal stomach (p < 0.05). In human ex vivo model, traditional surgical suture (i.e. running hand-sewn) produced an effective temporary closure, with superior resistance to increasing volume and pressure. How this may impact on clinical LSG outcomes needs further evaluations and was not the object of this study.

show abstract

Stapleless Laparoscopic Sleeve Gastrectomy: Reasoning and Technical Insights

2017

View full text Add to dashboard Cite

BackgroundLaparoscopic sleeve gastrectomy (LSG) with staple line reinforcement (SLR) is a popular and safe treatment option for morbid obesity. We have developed, devised, and described our own method of stapleless laparoscopic sleeve gastrectomy, which in our limited study appeared safe, efficacious, and potentially cost-effective.MethodsWe analyzed the outcome of our modified LSG in a case series of three middle-aged women (median age 42 years old). Our main modification was sutured closure of the stomach rather than the commonly utilized technique of stapled closure. Our primary measure of success was the occurrence of post-operative leak. Secondary measures were (a) length of operation, (b) duration of inpatient stay, and (c) percentage of weight loss at 6 and 12 months post operation.ResultsMedian operative time = 132 min (120–195 min), and median inpatient stays were 2 days. No post-operative leaks were recorded. The median excess weight loss at 6 months was 39% of initial weight loss and 57.7% at 12 months.ConclusionsStapleless LSG has the potential to be an affordable alternative to the traditional LSG. High-powered studies and a formal cost analysis are required.

show abstract

Staplerless Laparoscopic Gastric Bypass: Not So Fast

Cited by 4 publications

References 4 publications

Reinforcement Does Not Necessarily Reduce the Rate of Staple Line Leaks After Sleeve Gastrectomy. A Review of the Literature and Clinical Experiences

Reinforcement Does Not Necessarily Reduce the Rate of Staple Line Leaks After Sleeve Gastrectomy. A Review of the Literature and Clinical Experiences

Stapler-less burst pressure in an ex vivo human gastric tissue: a randomized controlled trial

Stapleless Laparoscopic Sleeve Gastrectomy: Reasoning and Technical Insights

Contact Info

Product

Resources

About