关键词: AEONTM GIA stapler Medtronic Tri-StapleTM Reinforcement SADI-S SG

Mesh : Humans Retrospective Studies Female Male Bariatric Surgery / methods Middle Aged Surgical Staplers Surgical Stapling / methods Adult Obesity, Morbid / surgery Hemostasis, Surgical / instrumentation methods Gastrectomy / methods Equipment Design

来  源:   DOI:10.4293/JSLS.2023.00058   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
与MedtronicTri-stepleTM相关的止血相关并发症预装支撑材料和新颖的,裸AEONTM胃肠吻合器尚未在减肥手术中得到广泛研究。该研究旨在评估和比较MedtronicTri-stepleTM和AEONTMGIA吻合器之间30天止血相关并发症。
对2021年11月至2022年12月在澳大利亚一家私立医院接受原发性或翻修袖状胃切除术(SG)或单吻合口十二指肠回肠旁路手术(SADI-S)的患者的数据进行了回顾性分析。手术由一名外科医生完成,使用美敦力三订书机或AEONTM订书机。
分析包括250名患者,前125例患者使用MedtronicTri-stepleTMGIA吻合器接受钉线,随后125例患者使用AEONTMGIA吻合器接受钉线。统计分析显示,Medtronic和AEON组之间的外科手术分布没有显着差异。在AEON组,从统计学上讲,糖尿病患者和以前的烟草使用者人数更高,而其他术前特征两组间无显著差异.AEON组的平均手术时间明显更长,而住院时间明显缩短。无术中或30天并发症,死亡,急诊室探视,再入院,两组均观察到或再次手术。
小说,在减肥手术中,裸AEONTM吻合器在实现止血和保持固定线完整性方面,与已建立的带有预装支撑材料的MedtronicTri-StapleTM相比,具有不劣性。
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