Abstract
Introduction: The most recent innovation in laparoscopic
surgery has been the introduction of powered stapler platforms. These
systems were designed to standardize staple formation, by minimizing
tissue dissection and controlling tissue compression and staple
formation.
Methods: Retrospective cohort analysis compared laparoscopic powered E-beam stapler platform to a laparoscopic non-powered I-beam
stapler. The analysis was performed using a robust 2:1 control group study. Statistical analysis was performed using STATA.
Results: Forty-three powered cantilever E-beam stapler
resection cases were compared to 86 cases of non-powered I-beam stapler
resections. Both cohorts were equally matched for demographics, extent
of liver disease, tumor size and type of resection. The non-powered
I-beam group did have a higher ASA score (2.8 vs. 2.6; p<0.037).
Staple usage, blood loss, and complication rates were equivalent.
Operative
time was significantly shorter in the powered stapler group (136 vs. 157
hrs; p=0.026) realizing accumulative 90-day global cost savings of
$8,248.89 per case (p=0.012).
Conclusion: Laparoscopic powered E-beam stapler platforms
appear to be safe and efficacious with equivalent performance and
complication profiles compared to non-powered I-beam platforms. Powered
stapling platforms also appear to minimize parenchymal injury
reducing operative time further decreasing disposable and global costs.
Powered Stapling Platforms in Laparoscopic Liver Resection by Joseph F Buell in BJSTR
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.