Efficacy of surgical staple line reinforcement in Glissonean stapling: A single-center pilot study

Asian J Endosc Surg. 2024 Apr;17(2):e13293. doi: 10.1111/ases.13293.

Abstract

Vascular staplers are routinely used in laparoscopic liver resection, which has become a standard procedure in advanced medical facilities. Although previous reports have outlined the benefits of staple line reinforcement (SLR), its application in Glissonean pedicle transection during hepatic resection remains poorly studied. This study investigated surgical SLR as a tool to enhance staple line strength and improve perioperative hemostasis. Here, 10 patients who underwent laparoscopic liver resection using the Tri-StapleTM2.0 Reinforced Reload were included. Patient characteristics, surgical details, and outcomes were assessed. The results demonstrated successful outcomes with no complications related to bile leakage or injuries during staple insertion. Overall, our findings suggest that SLR can be safely utilized in Glissonean pedicle transection during laparoscopic liver resections. Further studies are required to comprehensively evaluate its benefits compared with conventional surgical staplers.

Keywords: Glissonean pedicle transection; laparoscopic liver resection; reinforced tri-staple.

MeSH terms

  • Hepatectomy / methods
  • Humans
  • Laparoscopy* / methods
  • Liver* / surgery
  • Pilot Projects
  • Surgical Stapling / methods
  • Sutures
  • Treatment Outcome