Comparative Study of Gastric Bypass Using Three Types of Linear Cutting Staplers

Luiz Felipe Fernandes Osorio, Octavio Marinho Falcao Neto, Joao Pedro da Silva Georgetta, Clarice Fraga Esteves Maciel Osorio, Luciano Alves Favorito and Carla Braga Mano Gallo

Department of Urology, Video Laparoscopic Surgical Clinic, Brazil
Urogenital Research Unit, State University of Rio de Janeiro, Brazil

^*Correspondance to: Carla Braga Mano Gallo 

 PDF  Full Text DOI: 10.25107/2474-1647.2563

Abstract

Objective: The present study analyzed the occurrence of complications among people receiving gastric bypass gastroplasty using three types of linear cutting staplers. Materials and Methods: The same medical team retrospectively studied 178 patients receiving weight-reduction gastroplasty to control obesity at our service. The cases were grouped by the type of linear cutting stapler used: 53 patients-Group 1 (G1: Reach or ENDO RLC), 54 patients-Group 2 (G2: Johnson & Johnson-ETS, ECHELON FLEX ENDOPATH and ECHELON POWERED FLEX), and 71 patients-Group 3 (G3: Meditronic-ENDO GIA™ and iDRIVE ULTRA POWERED™). Demographic information such as gender, age, and Body Mass Index (BMI) was recorded, in addition to the basic information directly related to the immediate surgical outcomes such as drain placement, the presence of abnormal bleeding, the need for reoperation, and length of hospitalization. Results: Of the 178 patients who underwent surgery, six (3.4%) had at least one complication, including the need for drain placement, the presence of abnormal bleeding, and the need for reoperation. In G2, one 59-year-old patient (BMI=46.3 kg/m2) required further surgical intervention (exploratory laparotomy for enterorrhaphy due to a small intestine lesion), and another 61-yearold patient (BMI=33.6) required the preventive placement of a drain. Despite the delay in hospital discharge, which was initially scheduled the day after surgery, both patients showed favourable recoveries. Conclusion: This study did not show significant differences with regard to the use, complication rate, or handling of the REACH stapler compared with the other two stapler brands studied.

Keywords

Bariatric surgery; Gastric bypass; Linear cutting staplers

Cite the article

Fernandes Osorio LF, Falcao Neto OM, da Silva Georgetta JP, Esteves Maciel Osorio CF, Favorito LA, Mano Gallo CB. Comparative Study of Gastric Bypass Using Three Types of Linear Cutting Staplers. Clin Surg. 2019; 4: 2563..