Risk of anastomotic leakage with two-row versus three-row manual circular staplers in colorectal anastomosis : a U.S. cohort study
© 2023. The Author(s)..
PURPOSES: To compare the risk of anastomotic leak (AL) between Ethicon manual circular staplers (two-row) versus Medtronic EEA™ circular stapler with Tri-Staple™ technology (three-row) and between Medtronic EEA™ circular stapler with DST™ Series technology (two-row) versus Tri-Staple™ technology.
METHODS: A retrospective cohort study was conducted in adult patients who underwent a left-sided colorectal surgery 2019-2022 in U.S. Premier Healthcare Database to assess the risk of AL within 30 days post-index procedure. The study devices were Ethicon manual circular staplers, Medtronic EEA™ circular stapler with DST™ technology, and Medtronic EEA™ circular stapler with Tri-Staple™ technology.
RESULTS: Across 447 hospitals, the cumulative incidences (95% confidence intervals [CI]) of AL within 30 days post-index procedure were 7.78% (6.91-8.74%) among 8337 patients in the Ethicon manual circular stapler cohort, 7.54% (6.87-8.27%) among 7928 patients in the Medtronic EEA™ circular stapler with DST™ technology cohort, and 8.19% (6.57-10.07%) among 1306 patients in the Medtronic EEA™ circular stapler with Tri-Staple™ technology cohort. Comparative analyses revealed no difference comparing Ethicon manual circular staplers with Medtronic EEA™ circular staplers with Tri-Staple™ technology (risk ratio [RR], 0.72; 95% CI, 0.52-1.01) or comparing Medtronic EEA™ circular staplers with DST™ technology to Tri-Staple™ technology (RR, 0.75; 95% CI, 0.53-1.06).
CONCLUSION: In this analysis of a large cohort of patients undergoing a left-sided colorectal surgery from a U.S. hospital database, the risk of AL observed with manual two-row circular staplers was similar to that seen with three-row devices. This study affirms the safety of manual two-row circular staplers in colorectal anastomosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
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| Enthalten in: |
International journal of colorectal disease - 38(2023), 1 vom: 07. Nov., Seite 264 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wang, Tongtong [VerfasserIn] |
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| Links: |
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| Themen: |
Anastomotic leak |
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| Anmerkungen: |
Date Completed 08.11.2023 Date Revised 21.12.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00384-023-04552-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM364242957 |
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| 100 | 1 | |a Wang, Tongtong |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Risk of anastomotic leakage with two-row versus three-row manual circular staplers in colorectal anastomosis |b a U.S. cohort study |
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| 500 | |a Date Revised 21.12.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a PURPOSES: To compare the risk of anastomotic leak (AL) between Ethicon manual circular staplers (two-row) versus Medtronic EEA™ circular stapler with Tri-Staple™ technology (three-row) and between Medtronic EEA™ circular stapler with DST™ Series technology (two-row) versus Tri-Staple™ technology | ||
| 520 | |a METHODS: A retrospective cohort study was conducted in adult patients who underwent a left-sided colorectal surgery 2019-2022 in U.S. Premier Healthcare Database to assess the risk of AL within 30 days post-index procedure. The study devices were Ethicon manual circular staplers, Medtronic EEA™ circular stapler with DST™ technology, and Medtronic EEA™ circular stapler with Tri-Staple™ technology | ||
| 520 | |a RESULTS: Across 447 hospitals, the cumulative incidences (95% confidence intervals [CI]) of AL within 30 days post-index procedure were 7.78% (6.91-8.74%) among 8337 patients in the Ethicon manual circular stapler cohort, 7.54% (6.87-8.27%) among 7928 patients in the Medtronic EEA™ circular stapler with DST™ technology cohort, and 8.19% (6.57-10.07%) among 1306 patients in the Medtronic EEA™ circular stapler with Tri-Staple™ technology cohort. Comparative analyses revealed no difference comparing Ethicon manual circular staplers with Medtronic EEA™ circular staplers with Tri-Staple™ technology (risk ratio [RR], 0.72; 95% CI, 0.52-1.01) or comparing Medtronic EEA™ circular staplers with DST™ technology to Tri-Staple™ technology (RR, 0.75; 95% CI, 0.53-1.06) | ||
| 520 | |a CONCLUSION: In this analysis of a large cohort of patients undergoing a left-sided colorectal surgery from a U.S. hospital database, the risk of AL observed with manual two-row circular staplers was similar to that seen with three-row devices. This study affirms the safety of manual two-row circular staplers in colorectal anastomosis | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Anastomotic leak | |
| 650 | 4 | |a Left-sided colorectal surgery | |
| 650 | 4 | |a Manual circular staplers | |
| 650 | 4 | |a Premier Healthcare Database (PHD) | |
| 650 | 4 | |a Retrospective cohort study | |
| 700 | 1 | |a Sadowsky, Mordechai |e verfasserin |4 aut | |
| 700 | 1 | |a Blakney, Rebekah |e verfasserin |4 aut | |
| 700 | 1 | |a Coplan, Paul |e verfasserin |4 aut | |
| 700 | 1 | |a Petraiuolo, William |e verfasserin |4 aut | |
| 700 | 1 | |a Soberman, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Tomaszewski, Joerg |e verfasserin |4 aut | |
| 700 | 1 | |a Rene, Lexi |e verfasserin |4 aut | |
| 700 | 1 | |a Wood, Jennifer |e verfasserin |4 aut | |
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