ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2025
Use of Lower Staple Heights in Robotic Sleeve Gastrectomy: National Trends and Impact on Outcomes.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This study aimed to characterize SureForm stapler usage trends in robotic sleeve gastrectomy (RSG) and compare associated outcomes, accounting for staple height used. Background: The proportion of sleeve gastrectomy cases done robotically is increasing, but uncertainty remains about optimal stapler choice, reload height and reinforcement, and the impact of these choices on perioperative outcomes. Methods: Elective laparoscopic and robotic SG performed from January 1, 2019, to February 28, 2023, were identified in the PINC AI Healthcare Database. Patients who underwent RSG were included. RSG with no stapler type/height information was excluded. The incidences of complications such as bleeding, leak, and sepsis in the perioperative period were evaluated using International Classification of Diseases/Current Procedure Terminology codes. Hospital resource utilization data such as length of stay, operative time, intensive care unit utilization, and readmission were also analyzed. Propensity score matching (PSM) analysis was used to compare outcomes. Results: A total of 35,795 RSG were analyzed with 23,904 documenting use of SureForm stapler. Use of at least one SureForm white reload increased from 19.2% to 52.7% in the study period; use of 3 or more white reloads per case increased from 6% to 71%. PSM analysis compared 5795 RSG with any white reload versus 5795 RSG with non-white reloads, showing equivalent complication rates, marginally shorter length of stay, and longer operative time with white reloads. Conclusions: There is a trend toward downsizing to white stapler reloads in RSG without significant changes in perioperative outcomes and minor differences in hospital resource utilization. These findings suggest that white stapler reload use is safe in RSG.
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Registered trials
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