Academic Journal
Comparative Clinical Effectiveness and Operating Efficiency of Different Ultrasonic Devices for Performance of Sleeve Gastrectomy.
| Τίτλος: | Comparative Clinical Effectiveness and Operating Efficiency of Different Ultrasonic Devices for Performance of Sleeve Gastrectomy. |
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| Συγγραφείς: | Monali M; Cedars-Sinai Medical Center, Los Angeles, CA, USA. monali.misra@cshs.org., Pan IW; Surgical OU, Clinical Medical Affair and HEPR, Medtronic, Minneapolis, MN, USA., Siddqui ZA; Surgical OU, Clinical Medical Affair and HEPR, Medtronic, Minneapolis, MN, USA., Bisceglie F; Surgical OU, Clinical Medical Affair and HEPR, Medtronic, Minneapolis, MN, USA., Kroh M; Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.; Surgical OU, Core Surgical Innovations, Medtronic, Minneapolis, MN, USA. |
| Πηγή: | Obesity surgery [Obes Surg] 2026 Oct; Vol. 36 (10), pp. 5173-5182. Date of Electronic Publication: 2026 Aug 18. |
| Τύπος έκδοσης: | Journal Article; Comparative Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2006- : New York : Springer Science + Business Media Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991- |
| Ιατρικοί όροι (MeSH): | Gastrectomy*/instrumentation , Gastrectomy*/methods , Obesity, Morbid*/surgery , Ultrasonic Surgical Procedures*/instrumentation, Length of Stay/statistics & numerical data ; Humans ; Female ; Male ; Adult ; Middle Aged ; Operative Time ; Treatment Outcome |
| Περίληψη: | Introduction: This study aims to evaluate clinical and economic outcomes of using different ultrasonic energy devices in patients undergoing sleeve gastrectomy (SG). Methods: The patient cohort was extracted from PINC AI™ Healthcare Data 2019-2023, including individuals aged ≥ 18 who underwent primary elective gastric sleeve procedures using either corded (CD) or cordless (CL) ultrasonic devices (UD). Two analysis groups were evaluated: total SG regardless of the - stapler brand used in the operation (Cohort I), and UD used with an identifiable same-brand stapler in the operation (Cohort II). A propensity score matching (PSM) method with a caliper of 0.2 and 1:1 nearest-neighbor matching was performed for patients who used CD and CL. We applied multivariable generalized linear model (GLM) analyses for sensitivity analyses. Results: 24160 and 18906 patients were included for cohorts I (82.3% CD and 17.7% CL; 4268 PSM paired) and II (81.7% CD and 18.3% CL; 3282 PSM paired), respectively. CD had higher operating-room time (minutes) than CL in both Cohort I (mean difference: 27 (95% confidence interval (CI): (24, 29), p < 0.001) and II (27 (24, 30), p < 0.001). There is no difference in incidence rates of blood transfusion, bleeding, and 30-day readmission, and total inpatient cost and length of stay between CD and CL. The sensitivity analyses showed similar results. Conclusions: The study shows that CL had similar clinical and economic outcomes to CD, and CL was more efficient in patients treated with sleeve gastrectomy. Key Points: • Cordless ultrasonic devices were more efficient when used in sleeve gastrectomy. • Outcomes of sleeve gastrectomy used cordless/corded ultrasonic device were similar. • Resource use of cordless/corded ultrasonic device was similar in sleeve gastrectomy. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics Approval and Consent to Participate: The PHD is de-identified by the HIPAA Privacy Rule. This study was determined exempt from full board review by Sterling IRB. Consent for Publication: Not applicable. Competing Interest: MM received consulting fees from Medtronic, plc. IP, ZAS, and FB are Medtronic employees and stockholders. MK is CMO of Medtronic, Advisory Board for Endolumik and Kintsugi. |
| Σχόλια: | Erratum in: Obes Surg. 2026 Oct;36(10):5183. doi: 10.1007/s11695-026-08911-y.. (PMID: 42629478) |
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| Contributed Indexing: | Keywords: Advanced energy devices; Operating room time; Sleeve gastrectomy |
| Entry Date(s): | Date Created: 20260818 Date Completed: 20261007 Latest Revision: 20261010 |
| Update Code: | 20261010 |
| PubMed Central ID: | PMC13645881 |
| DOI: | 10.1007/s11695-026-08892-y |
| PMID: | 42608501 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1708-0428 |
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| DOI: | 10.1007/s11695-026-08892-y |