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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.
- Source :
-
Cost Effectiveness & Resource Allocation . 5/6/2024, Vol. 22 Issue 1, p1-8. 8p. - Publication Year :
- 2024
-
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. [ABSTRACT FROM AUTHOR]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 14787547
- Volume :
- 22
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Cost Effectiveness & Resource Allocation
- Publication Type :
- Academic Journal
- Accession number :
- 177062502
- Full Text :
- https://doi.org/10.1186/s12962-024-00534-3