期刊
OBESITY SURGERY
卷 14, 期 10, 页码 1290-1298出版社
SPRINGER
DOI: 10.1381/0960892042583888
关键词
staple line; morbid obesity; bariatric surgery; staple line reinforcement; cartridge selection; buttressing; stapling mechanics
类别
Staple-line leaks represent an unwanted, yet seemingly unavoidable, complication of stapling associated with bariatric surgery. Although, folk legends abound as to precluding leaks, little has been written based on basic research and understanding of stapling mechanics. This article reviews the history of stapling and discusses the implications of understanding the biomechanics of stapling living tissue. Finally, three leak studies evaluating ways to optimize staple-line strength are presented, and a large bariatric clinical series is reviewed.
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