Risk of anastomotic leakage with two-row versus three-row manual circular staplers in colorectal anastomosis: a U.S. cohort study
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. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wang, Tongtong [VerfasserIn] |
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| Links: |
Volltext [kostenfrei] |
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| Themen: |
Anastomotic leak |
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| Anmerkungen: |
© The Author(s) 2023 |
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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): |
SPR05364025X |
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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: a U.S. cohort study |
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| 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. 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. | ||
| 650 | 4 | |a Anastomotic leak |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Manual circular staplers |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Left-sided colorectal surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Retrospective cohort study |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Premier Healthcare Database (PHD) |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Sadowsky, Mordechai |4 aut | |
| 700 | 1 | |a Blakney, Rebekah |4 aut | |
| 700 | 1 | |a Coplan, Paul |4 aut | |
| 700 | 1 | |a Petraiuolo, William |4 aut | |
| 700 | 1 | |a Soberman, Mark |4 aut | |
| 700 | 1 | |a Tomaszewski, Joerg |0 (orcid)0000-0001-8601-1568 |4 aut | |
| 700 | 1 | |a Rene, Lexi |4 aut | |
| 700 | 1 | |a Wood, Jennifer |4 aut | |
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