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- Title
Real-world effectiveness of a new powered stapling system with gripping surface technology on the intraoperative clinical and economic outcomes of gastrectomy for gastric cancer.
- Authors
Guo, Honghai; Zheng, Tao; Lin, Yecheng; Tang, Tiange; Zhang, Zhidong; Wang, Dong; Zhao, Xuefeng; Liu, Yu; Tan, Bibo; Yang, Peigang; Tian, Yuan; Li, Yong; Zhao, Qun
- Abstract
Background: Surgical staplers have been widely used to facilitate surgeries, and this study aimed to examine the real-world effectiveness of a new powered stapling system with Gripping Surface Technology (GST) on intraoperative outcomes of gastrectomy for gastric cancer. Method: The data were extracted from the Fourth Hospital of Hebei Medical University's (FHHMU) medical records system. Participants (N = 121 patients) were classified into the GST (n = 59) or non-GST group (n = 62), based on the use of the GST system. The intraoperative outcomes such as bleeding were assessed by reviewing video records. T-tests, Chi-square tests, and Mann–Whitney-U tests were used to compare the baseline characteristics between groups. Multivariate logistic regression was conducted for adjusting outcomes to study the effect of variables. Results: Compared with the non-GST group, the GST group had significantly lower risks for intraoperative bleeding, intraoperative anastomosis intervention rate, intraoperative suture, and intraoperative pression (aORs: 0.0853 (p < 0.0001), 0.076 (p = 0.0003), 0.167 (p = 0.0012), and 0.221 (p = 0.0107), respectively). The GST group also consumed one fewer cartridge than the non-GST group (GST:5 vs non-GST: 6, p = 0.0241). Conclusion: The use of the GST system was associated with better intraoperative outcomes and lower cartridge consumption in Chinese real-world settings.
- Subjects
GASTRECTOMY; CLINICAL medicine; STOMACH tumors; STAPLERS (Surgery); MEDICAL technology; ACADEMIC medical centers; T-test (Statistics); RESEARCH funding; MULTIPLE regression analysis; SURGICAL therapeutics; TREATMENT effectiveness; EVALUATION of medical care; CHI-squared test; MANN Whitney U Test; DESCRIPTIVE statistics; INTRAOPERATIVE monitoring; ODDS ratio; ELECTRONIC health records; MEDICAL records; ACQUISITION of data; COMPARATIVE studies; VIDEO recording; EVALUATION; EQUIPMENT &; supplies
- Publication
Cost Effectiveness & Resource Allocation, 2024, Vol 22, Issue 1, p1
- ISSN
1478-7547
- Publication type
Article
- DOI
10.1186/s12962-024-00534-3