Compression pre-stapler firing and post-ignition wait during sleeve gastrectomy: a prospective randomized trial
São Paulo med. j
; São Paulo med. j;142(3): e2023163, 2024. tab, graf
Article
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LILACS-Express
| LILACS
| ID: biblio-1530520
Bibliothèque responsable:
BR1.1
ABSTRACT
ABSTRACT BACKGROUND:
Insufficient research exists on the stapling technique in and duration of laparoscopic sleeve gastrectomy (LSG).OBJECTIVES:
This study aimed to assess the clinical outcomes using a 30-second precompression and post-firing waiting time without extra support for the stapling line. DESIGN AND SETTINGS Randomized controlled prospective study at a university hospital.METHODS:
This study included 120 patients treated between January 2022 and February 2023. The patients were divided into the non-waiting group (T0) and waiting group (T1), each with 60 patients. Perioperative complications were analyzed using statistical tests.RESULTS:
The waiting group (T1) showed a significant reduction in the number of intraoperative bleeding points requiring intervention compared with the non-waiting group (T0) (81 versus 134, P < 0.05). In T0, postoperative C-reactive protein (CRP) levels increased (P < 0.05) and hemoglobin levels decreased significantly (P <0.05). The study recorded 22 postoperative complications, accounting for 18.3% of all cases during the 30-day postoperative period.CONCLUSIONS:
The study concluded that the 30 sec + 30 sec stapling technique reduces perioperative bleeding, length of stay, and serious complication rates and is practical and effective for LSG. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov with registration code NCT05703035; link https//clinicaltrials.gov/ct2/show/NCT05703035.
Texte intégral:
1
Indice:
LILACS
Type d'étude:
Clinical_trials
/
Observational_studies
langue:
En
Texte intégral:
São Paulo med. j
Thème du journal:
Cirurgia Geral
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Cincia
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Ginecologia
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MEDICINA
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Medicina Interna
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Obstetr¡cia
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Pediatria
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Sa£de Mental
/
Sa£de P£blica
Année:
2024
Type:
Article