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Performance of da Vinci Stapler during robotic-assisted right colectomy with intracorporeal anastomosis

Performance of da Vinci Stapler during robotic-assisted right colectomy with intracorporeal... Applications for surgical staplers continue to grow, due to the increase in minimally invasive surgical approaches, and range from vessel ligation to tissue transection and anastomoses. Complications associated with stapled tissue, such as bleeding or leaks, continue to be a concern for surgeons, as both can be associated with prolonged operative times and can contribute to postoperative morbidity and mortality. The goal of this retrospective study was to evaluate the performance of the da Vinci® Xi EndoWrist® Stapler 45 with SmartClamp™ technology during robotic-assisted right colectomy with intracorporeal anastomosis. We reviewed 113 consecutive cases from four medical centers. Preclinical diagnoses were inflammatory bowel disease (IBD) (n = 5), benign bowel disease (n = 77), and malignant bowel disease (n = 31). No anastomotic leaks occurred; one event of anastomotic bleeding (0.88%) resolved without surgical intervention. Overall, there were 643 clamp attempts (5.7 attempts per case), and 570 fires (5.0 fires per case). SmartClamp™ occurrences happened in approximately one out of three cases, with the highest proportion of occurrences in the IBD group (2.0 occurrences per case). The most commonly fired reload was blue (1.5 mm closed height) with 4.1 blue reloads fired per case overall. No incomplete fires occurred during the procedures. The study data demonstrate the performance of the da Vinci Xi EndoWrist® Stapler 45 as used in right colon resection with intracorporeal anastomosis. The collection and analysis of these data provide surgeons with information related to stapler firings, which were not previously available; as such, this analysis may lead to deductions that are useful for intraoperative decision-making and clinical outcomes. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Robotic Surgery Springer Journals

Performance of da Vinci Stapler during robotic-assisted right colectomy with intracorporeal anastomosis

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag London Ltd., part of Springer Nature
Subject
Medicine & Public Health; Minimally Invasive Surgery; Surgery; Urology
ISSN
1863-2483
eISSN
1863-2491
DOI
10.1007/s11701-018-0828-z
Publisher site
See Article on Publisher Site

Abstract

Applications for surgical staplers continue to grow, due to the increase in minimally invasive surgical approaches, and range from vessel ligation to tissue transection and anastomoses. Complications associated with stapled tissue, such as bleeding or leaks, continue to be a concern for surgeons, as both can be associated with prolonged operative times and can contribute to postoperative morbidity and mortality. The goal of this retrospective study was to evaluate the performance of the da Vinci® Xi EndoWrist® Stapler 45 with SmartClamp™ technology during robotic-assisted right colectomy with intracorporeal anastomosis. We reviewed 113 consecutive cases from four medical centers. Preclinical diagnoses were inflammatory bowel disease (IBD) (n = 5), benign bowel disease (n = 77), and malignant bowel disease (n = 31). No anastomotic leaks occurred; one event of anastomotic bleeding (0.88%) resolved without surgical intervention. Overall, there were 643 clamp attempts (5.7 attempts per case), and 570 fires (5.0 fires per case). SmartClamp™ occurrences happened in approximately one out of three cases, with the highest proportion of occurrences in the IBD group (2.0 occurrences per case). The most commonly fired reload was blue (1.5 mm closed height) with 4.1 blue reloads fired per case overall. No incomplete fires occurred during the procedures. The study data demonstrate the performance of the da Vinci Xi EndoWrist® Stapler 45 as used in right colon resection with intracorporeal anastomosis. The collection and analysis of these data provide surgeons with information related to stapler firings, which were not previously available; as such, this analysis may lead to deductions that are useful for intraoperative decision-making and clinical outcomes.

Journal

Journal of Robotic Surgery – Springer Journals

Published: May 30, 2018

References

  • Surgical stapling device-tissue interactions: what surgeons need to know to improve patient outcomes
    Chekan, E; Whelan, RL
  • The impact of postoperative complications on long-term quality of life after curative colorectal cancer surgery
    Brown, SR; Matthew, R; Keding, A; Marshall, HC; Brown, JM; Jayne, DG
  • Colorectal anastomatic leak rates are measures of technical skill in surgery
    Collopy, BT
  • Risk factors for anastomotic leakage and leak-related mortality after colonic surgery in a nationwide audit
    Bakker, IS; Grossman, I; Henneman, D; Havenga, K; Wiggers, T
  • Risk factors for anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a doubling stapling technique
    Kim, JS; Cho, SY; Min, BS; Kim, NK
  • The use of robotic and laparoscopic stapling devices during minimally invasive colon and rectal surgery: a comparison
    Holzmacher, JL; Luka, S; Aziz, M; Amdur, RL; Agarwal, S; Obias, V