Gastric Wall Thickness and the Choice of Linear Staples in Laparoscopic Sleeve Gastrectomy: Challenging Conventional Concepts

Background Little evidence is available on the choice of linear staple reloads in laparoscopic sleeve gastrectomy (LSG). Previous literature recommends matching closed staple height (CSH) to tissue-thickness (TT) to avoid ischemia. Our objective was to examine feasibility and safety of “tight” hemos...

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Bibliographic Details
Published in:Obesity surgery 2017-03, Vol.27 (3), p.837-843
Main Authors: Abu-Ghanem, Yasmin, Meydan, Chanan, Segev, Lior, Rubin, Moshe, Blumenfeld, Orit, Spivak, Hadar
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Feasibility Studies
Female
Gastrectomy - adverse effects
Gastrectomy - instrumentation
Gastrectomy - methods
Gastric Fundus - surgery
Gastrointestinal surgery
Hemostasis, Surgical - methods
Humans
Ischemia
Laparoscopy - methods
Male
Medical supplies
Medicine
Medicine & Public Health
Middle Aged
New Concept
Obesity, Morbid - pathology
Obesity, Morbid - surgery
Postoperative Hemorrhage - etiology
Postoperative Hemorrhage - prevention & control
Stomach - pathology
Stomach - surgery
Surgery
Surgical Stapling - adverse effects
Surgical Stapling - instrumentation
Surgical Stapling - methods
Sutures
Thickness measurement
Tissues
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Summary:Background Little evidence is available on the choice of linear staple reloads in laparoscopic sleeve gastrectomy (LSG). Previous literature recommends matching closed staple height (CSH) to tissue-thickness (TT) to avoid ischemia. Our objective was to examine feasibility and safety of “tight” hemostatic (CSH/TT
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-016-2516-2