Highlights
- •An emphasis on understanding how gastrointestinal stapling affects tissue biology.
- •How the biology of healing is critical to understand how to design future stapling.
- •Getting to Zero will require thinking beyond the mechanics of stapling.
Abstract
As next generation stapling devices enter the marketplace with robotic adaptations,
tri-staple technology, preloaded reinforcement materials, etc., in this perspective
piece we assert that a “refresh” in our understanding of the mechanisms of action
of these devices is needed. While much attention has been paid to explain the mechanical
features of one device versus another, it seems that little to no attention is being
paid to understand how an intestinal anastomosis responds biologically to the variations
in their use and design. Here we will review various aspects of gastrointestinal stapling
in the context of emerging technology in the field and expose the gaps in knowledge
that exist regarding the effect of gastrointestinal stapling on the biology of healing.
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Article info
Publication history
Published online: February 01, 2023
Accepted:
January 31,
2023
Received in revised form:
January 15,
2023
Received:
December 25,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
